2020—2022年某三级综合医院住院死亡病例分析

doi:10.3969/j.issn.1006-5253.2024.04.004

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Abstract Objective To analyze inpatient death cases in a tertiary comprehensive hospital during the threeyear period from 2020 to 2022 and provide reference data for the evaluation of the hospital′s ability to treat difficult and critical cases.Methods The basic information of all inpatient deaths during the three-year period from 2020 to 2022 was collected using the hospital′s medical record statistical management system. The cases were classified according to the International Classification of Diseases (ICD-10) and analyzed using statistical analysis software SPSS 23.0.Results From 2020 to 2022, there were a total of 306 756 discharged patients and 1 522 inpatient deaths, with a total mortality rate of 4.96‰. The mortality rate showed a decreasing trend each year, and there were significant differences in mortality rates between the years(χ2=18.470, P<0.001). The mortality rate of male patients was 6.35‰, higher than that of female patients (3.57‰), and the difference was statistically significant(χ2=119.501, P<0.001).There were differences in mortality rates among different age groups. The group with the highest mortality rate was the newborn group (less than 28 days old), with a mortality rate of 30.91‰. The second highest mortality rate was in the age group over 80 years old, with a mortality rate of 17.84‰. The differences in mortality rates between different age groups were statistically significant(χ2=1 367.76, P<0.001). The top three causes of death in hospitalized patients were circulatory system diseases (24.24%), respiratory system diseases (21.16%), and malignant neoplasms (20.83%). The causes of death were different between age groups. In the newborn group (under 28 days), some conditions originating in the perinatal period were the main cause of death. The group aged 28 days to under 1 year old had the highest number of deaths due to respiratory diseases, while malignant tumors and circulatory system diseases were the main causes of death in the age group between 20 and 79 years old, and respiratory system diseases and circulatory system diseases were the main causes of death for those aged 80 years old and above.Conclusion Circulatory system diseases, respiratory system diseases, and malignant tumors were the main causes of death. According to the distribution of causes of death, medical institutions should strengthen the prevention and treatment of chronic diseases, carry out personalized health interventions and health education, and reduce the risk of disease in high-risk groups; at the same time, according to the characteristics of different diseases, they should optimize the diagnosis and treatment process, strengthen the allocation of medical resources, and continuously improve the quality of medical services.

Key words： inpatient mortality rate rank of cause of death

Received: 09 November 2023

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Sun Li. Inpatient death case analysis in a tertiary comprehensive hospital from 2020 to 2022[J]. journal1, 2024, 31(4): 258-262.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2024.04.004 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2024/V31/I4/258

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