2003—2018年某三级甲等医院6 833例死亡病例分析

doi:10.3969/j.issn.1006-5253.2020.02.007

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (906 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To review and analyze the death cases from 2003 to 2018 in a tertiary hospital, to find out the basic situation of the death cases, the main causes of death and the related expenses, in order to provide reference for diagnosis and treatment of the disease , and reduce the case fatality rate. Methods The total number of inpatients from 2003 to 2018 was collected from the hospital medical record information system, and the data of 6 833 inpatients who died in the hospital were analyzed by using Excel 2007 and SPSS 19.0 softwares. Results From 2003 to 2018, the total number of inpatients was 404 076, and 6 833 patients died, with the case fatality rate 1.69%. The death cases have been increasing year by year in the past 16 years, but the fatality rate has been decreasing year by year. The highest mortality rate was 6.18% in the group aged over 81, followed by 4.06% in the group aged 71～80, and the highest mortality ratio was 21.04% in the group aged 61～70, followed by 21.03% in the group aged 71～80. There was a significant difference in mortality among different age groups (χ2=4071.81, P< 0.01). The mortality rate of male (2.16%) was significantly higher than that of female (1.22%) with significant statistical difference (χ2=540.16, P<0.01). Tumors, cardiovascular diseases, respiratory diseases, gastrointestinal diseases, poisoning and external causes were the main causes of death, accounting for 89.56 % of the total number of deaths. The top 10 leading causes of death were lung cancer, liver cancer, stomach cancer, brain hemorrhage, breast cancer, colon cancer, brain injury, pneumonia, cerebral infarction and nasopharyngeal carcinoma. The total cost of hospitalization has increased 31.46% in the past 16 years. The hospital stays and rescue times have impacted the total cost, and the proportion of drugs has decreased every year since 2011. Conclusion From 2003 to 2018, most of the patients who died in the hospital were middle-aged and elderly male patients. Tumor and cardiovascular disease were the main disease causes of death. Lung Cancer, liver cancer and stomach cancer were the main disease types causing death. The average hospitalization cost increased every year, and in proportion to the hospital stays and rescue times. The relevant departments of hospitals should rationally allocate medical resources, strengthen the subject construction of tumor, circulatory system and respiratory disease, to reduce the mortality rate of patients, control the hospital stays, carry out reasonable rescue and control the total hospitalization expenses.

Key words： death case disease classification statistical analysis

Received: 14 August 2019

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Chen Danfen
	Wen Jianzhen
	Xu Sumei.

Cite this article:

Chen Danfen,Wen Jianzhen,Xu Sumei.. Analysis of 6 833 death cases in a tertiary hospital from 2003 to 2018[J]. journal1, 2020, 27(2): 119-123.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2020.02.007 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2020/V27/I2/119

［1］岳阳阳，郑黎强，郭佳凯,等.我国三级医院住院患者死亡率的影响因素分析［J］.中国医院，2016，20（3）：20-23.

［2］朱双红. 2008—2017年某医院住院死亡病例统计分析［J］.中国医院统计，2018，25（4）：310-311.

［3］赖冬梅，李冰玲.20687例老年患者住院和死亡情况分析［J］.中国卫生产业，2016，13（24）：74-76.

［4］权少敏. 2009年—2016年某三甲医院2093份死亡病例分析［J］.中国病案，2018，19（6）：57-59.

［5］胡水芳，邓明德，马明镜，等.1544例住院患者死亡病例成因分析［J］.中华肺部疾病杂志(电子版)，2016，9（2）：193-195.

［6］王莹，宫舒萍，高昌，等.2011—2017年济南市居民死因分析及疾病负担研究［J］.中国慢性病预防与控制，2019，27（6）：468-471.

［7］苏晓绚，符月文.某院近5年死亡病例疾病构成分析［J］.中国病案，2018，19（8）：70-72.

［8］喻潇.2010—2017年北京市海淀区居民恶性肿瘤死亡特征及趋势分析［J］.现代预防医学，2018，45（23）：4298-4301.

［9］张婉萍，邱小珊，何小文，等.佛山市2014年住院死亡疾病谱分析［J］.现代医院，2016，16（11）：1694-1695.

［10］李远艺，王璐.某院2009年—2016年住院患者死亡统计［J］.中国病案，2017，18（7）：52-54.

［11］胡盛寿，高润霖，刘力生，等.《中国心血管病报告2018》概要［J］.中国循环杂志，2019，34（3）：209-220.

［12］SADEGHI S. Anticancer effects of cinnamon: Insights into its apoptosis effects［J］. European Journal of Medicinal Chemistry, 2019,178: 131-140.

［13］曹毛毛，陈万青.中国恶性肿瘤流行情况及防控现状［J］.中国肿瘤临床，2019，46（3）：145-149.

［14］梅文华，郭文燕，方国伦，等.2013—2017年某市恶性肿瘤住院患者疾病谱分析［J］.中国卫生统计，2019，36（3）：448-450.

［15］FEDERICO PINERO, SEBASTIAN MARCIANO, NORA FERNANDEZET, et al. Intermediateadvanced hepatocellular carcinoma in Argentina: Treatment and survival analysis［J］. World Journal of Gastroenterology，2019，25（27）：3607-3618.

［16］魏学玲，刘音杉，张兴璐.2014—2017年兰州市心血管疾病住院病人疾病谱分析［J］.疾病预防控制通报，2019，34（1）：13-17.