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Death causes analysis among inpatients from a hospital between 2009 and 2019 |
Wang Jian, Pang Jing, Lu Wenqiao |
Department of Medical Records, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan 250014, China |
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Abstract Objective To explore the causes of death in hospitalized patients during the 11 years and provide basis for rational allocation of medical resources. Methods According to ICD-10 disease classification, a descriptive epidemiological study was performed on the causes of death in hospitalized patients between 2009 and 2019. Results Between 2009 and 2019, the case fatality rate (CFR) decreased yearly (χ2=237, P<0.001) and the average CFR was 1.12%. The analysis of multiple logistic regression showed that, the highest CFR occurred in the group aged 65 and above (OR=50.11, 95%CI: 30.65-81.92), male (OR=1.42, 95%CI: 1.34-1.51), the region in native (OR=1.66, 95%CI: 1.52-1.82),the emergency admission (OR=3.42, 95%CI: 3.20-3.66), only western medicine treatment (OR=6.67, 95%CI: 4.51-9.88), nonoperative patient (OR=5.43, 95%CI: 4.70-6.28).The top 3 causes of death were tumor (30.75%), circulatory disease (26.75%), and respiratory disease (20.52%), respectively; among them the main causes were digestive organs malignant neoplasms, ischaemic heart diseases and other diseases of the respiratory system, respectively. Conclusion The prevention and treatment of the top 3 causes of death diseases should be strengthened; clinically targeted intervention should be strengthened for population of 65 years old and above and male, and internal medicine diseases; diagnosis and treatment should be combined with traditional Chinese and western medicine.
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Received: 06 October 2020
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