2014—2019年某三甲医院3598例住院死亡病例统计分析

doi:10.3969/j.issn.1006-5253.2021.01.005

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Abstract Objective To analyze the characteristics of the causes of death in a tertiary hospital in Shanghai during six years, and to provide reference for the rational allocation of medical resources. Methods The basic information of 3 598 inpatient deaths from January 1, 2014 to December 31, 2019 was collected and analyzed with SAS 9.2 software according to ICD-10 classification standard. Results The case fatality rate of hospitalized patients was 0.67% from 2014 to 2019, and the fatality rate of male patients was higher than that of female patients (χ2=143, P<0.001). The mortality age of female［M(IQR)］82(14) years old was higher than that of male［M(IQR)］77(20) years old, and the difference was statistically significant (Z=10.08, P<0.001). The mortality increased with age, and there was significant difference in Cochran Armitage trend test (Z=2.95, P=0.003). The causes of death were different between age groups, there were 5 deaths under 20 years old, including 2 cases of respiratory system disease, 1 case of circulatory system disease, 1 case of perinatal conditions disease, and 1 case of symptoms / signs / clinical abnormalities. Malignant tumor and circulatory system disease were the main causes of death from 20 to 69 years old. Circulatory system disease, malignant tumor and respiratory diseases were the main causes of death over 70 years old. The three leading causes of death were circulatory diseases (40.05%), malignant tumors (31.88%) and respiratory diseases (11.92%). Conclusion Circulatory system disease, malignant tumor and respiratory system disease were the main causes of death. We should pay attention to improving the level of medical technology and multidisciplinary comprehensive treatment ability, and pay attention to the early screening and intervention of diseases, so as to reduce the mortality.

Key words： tertiary hospital inpatient analysis of death cause rank of death cause

Received: 19 August 2020

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	Liu Yinmei
	Zhang Zhenjun
	Wan Qiuping
	Yu Hong

Cite this article:

Liu Yinmei,Zhang Zhenjun,Wan Qiuping, et al. Analysis of the death situation among inpatients in a tertiary hospital in Shanghai from 2014 to 2019[J]. journal1, 2021, 28(1): 20-24.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2021.01.005 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2021/V28/I1/20

［1］杨千三，邹雪平，田小兵，等．2017年南充市死因监测地区居民死因及减寿分析［J］．预防医学情报杂志，2020，36(3)：320-325．

［2］陈竺．全国第三次死因回顾抽样调查报告［M］．北京：中国协和医科大学出版社，2008．

［3］陈卫，段媛媛．中国人口的幸福预期寿命［J］．人口研究，2018，42(6)：87-99．

［4］吕林芳, 张汉阳, 郭青青, 等. 2014 年2018 年北京市某三甲医院住院病例死亡情况统计分析［J］. 中国病案, 2019,20(6):68-72.

［5］李文双, 刘芳, 羊俊, 等. 某综合医院 2014 年2018 年住院死亡病例分析［J］. 中国病案, 2020,21(1):69-71.

［6］PALAIODIMOS L, KOKKINIDIS D G, LI W J, et al. Severe obesity, increasing age and male sex are independently associated with worse inhospital outcomes, and higher inhospital mortality, in a cohort of patients with COVID19 in the Bronx, New York［J］. Metab Clin Exp, 2020, 108:154262.

［7］CIABIADA-BRYLA B, PIKALA M, BURZYNSKA M, et al. Trends in excess male mortality in the working age population in a region with the highest mortality rates in Poland［J］. Med Pr, 2020, 71(3):325-335.

［8］ERBEN Y, LI Y P, DA ROCHA-FRANCO J A, et al. Higher long-term mortality with carotid artery stenting in asymptomatic male compared with female patients in the southeastern vascular study group［J］. Ann Vasc Surg, 2020, 66:390-399.

［9］彭伟彬，刘颜，伍友春，等．2003—2016年某院住院死亡病例疾病谱统计分析［J］．中国医院统计，2017，24(4)：241-244．

［10］BALLIN M, NORDSTROM A, NORDSTROM P. Cardiovascular disease and allcause mortality in male twins with discordant cardiorespiratory fitness: A nationwide cohort study［J］. American Journal of Epidemiology, 2020, 189(10):1114-1123.

［11］陈万青，孙可欣，郑荣寿，等．2014年中国分地区恶性肿瘤发病和死亡分析［J］．中国肿瘤，2018，27(1)：1-14．

［12］冯钰惠，刘世友，顾婕，等．20152017年上海大华地区居民死因监测结果分析［J］．上海医药，2019，40(20)：51-53．

［13］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.

［14］宋宪锟, 贾友波, 戴宝玲, 等. 2013 年2017 年某三甲医院住院病例死因分析［J］. 中国病案, 2020,21(3):54-57.

［15］2015年上海市恶性肿瘤发病率［J］．上海预防医学，2019，31(10)：869-870．

［16］李晓燕，胡楠，黄正京，等．2004—2005年中国居民呼吸系统疾病死亡水平及构成［J］．中华预防医学杂志，2010，44(4)：298-302．