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WechatObjective Explored diagnosis related groups of prostatic cancer, and provided references for payment method and hospitalization standard expenses.Methods Screened group nodes of prostatic cancer by multiple linear regression, and established the diagnosis related groups by CHAID of decision tree. Evaluated model and calculated hospitalization standard expenses and weight of each group.Results Operation methods, comorbiditiesand complcations, agegroups, were group nodes（F=1 334.574，P<0.001，R2=0.711）. Decisiontree model divided into 8 diagnosis related groups，and calculated hospitalization standard expenses and weights(value at risk is 0.193,CV -varied between 0.01 and 0.07,RIV=0.76).Conclusions Thediagnosis related groups of prostatic cancer are reasonable, and hospitalization standard expenses and weight of each group may provide data support and decision reference for hospitals and health care institutions.
Objective To analyze the characteristics of the disease spectrum of inpatients in Guangdong Province from 2017 to 2019, so as to provide a scientific basis for determining the priority of disease control, mastering the system sequence and changing trends.Methods Home page data of medical record of inpatients in Guangdong Province in the past three years were collected. Disease spectrum of inpatients were analyzed and compared according to the ICD-10.Results The number of inpatients was increasing year by year. Diseases of the respiratory system, diseases of the circulatory system, pregnancy childbirth and puerperium were always the top 3 system diseases and accounted for more than 40% of inpatients in the past three years. Respiratory diseases ranked from 2nd to 1st; circulatory system ranked from 3rd to 2nd; digestive system ranked from 5th to 4th; factors influencing health status and contact with health services ranked from 6th to 5th; genitourinary system ranked from 8th to 7th; nervous system ranked from 12th to 10th. Pregnancy childbirth and puerperium ranked from 1st to 3rd; injury and poisoning ranked from 4th to 6th; musculoskeletal system and connective tissue ranked from 7th to 8th. For male cases, nervous system ranked from 11th to 9th. For female cases, neoplasms ranked from 8th to7th; factors influencing health status and contact with health services ranked from 6th to 4th; musculoskeletal system and connective tissue ranked from 4th to 5th; genitourinary system ranked from 5th to 6th; digestive system ranked from 7th to 8th.Conclusion Diseases of the respiratory system, diseases of the circulatory system, pregnancy childbirth and puerperium are the main diseases that affect residents′ health, the rank of genitourinary system and nervous system has improved, and both two types are the current key diseases for prevention and control in Guangdong Province.
Objective To analyze the age, gender and cause of death of died patients in a hospital from 2013 to 2019, so as to provide evidence for medical resource allocation and disease prevention. Methods The first page data of hospitalized medical records from 2013 to 2019 in the hospital were retrieved, and the main diagnostic codes were used to analyze the cause of death. Results From 2013 to 2019, 1 478 patients died and the average mortality rate was 0.43%, declining year by year. The mortality rate of male patients (0.46%) was higher than that of female patients (0.39%). The top five causes of death were tumor (40.12%), respiratory system disease (21.58%), circulatory system disease (17.25%), digestive system disease (7.71%), injury poisoning and other consequences of external causes (3.18%). The causes of death in different age groups were different. In patients of 30 years old and below, except for tumors, the proportion of perinatal diseases was the largest, most of which were newborns (32.39%). In patients of 3180 years old, the proportion of tumors was the largest. In patients of over 80 years old, the proportion of respiratory diseases was the largest. Conclusion We should pay more attention to the treatment of newborn diseases, male health, and strengthen the prevention and control of the chronic non-infectious diseases such as tumor, or diseases of respiratory system, circulatory system and digestive system.
