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Analysis on the disease composition of elderly inpatients in secondary and above medical institutions in Ningbo from 2017 to 2019 |
Zhang Qihua1,Liu Jiwei1,Luo Shenglan1, Yang Yongchuan2 |
1 Medical Record Statistics Room, Li Huili Hospital, Ningbo Medical Center, Ningbo 315001, China;
2 Ningbo Health Information Center, Ningbo 315001, China |
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Abstract Objective To understand the disease composition of elderly inpatients and provide basis for the prevention and rehabilitation of elderly diseases. Methods From the "Zhejiang Health Information Network Direct Report System", the first page information of inpatient medical records of elderly people (≥60 years old) in secondary and above medical institutions in Ningbo from 2017 to 2019 was obtained, including gender, age, discharge time, main diagnosis and the international disease classification coding, etc., and the main diagnosis of patients was classified and summarized according to ICD-10. Excel was used for statistical analysis of the data. Results There were totally 1 146 121 elderly people in secondary and above medical institutions in Ningbo from 2017 to 2019, and inpatients increased year by year. The male population was more than the female population (1.23∶1). The top 5 discharge diseases were circulatory system diseases, factors affecting health status and contact with health care institutions, respiratory system diseases, digestive system diseases and tumors, accounting for 61.88% of all elderly discharged patients. The composition and order of disease classification were different in different age groups, and the difference waw statistically significant(χ2=69 948.412,P<0.001). Conclusion There were differences in disease classification among different years, gender and age groups. Therefore, hospital decisionmakers should optimize the allocation of medical resources, and pay attention to the quality of medical services for the elderly population.
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Received: 08 April 2021
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