Zou Fang, Lu Jianqi, Dong Yaowen, Wang Hanyan
Objective To conduct a retrospective analysis of 2,789 death cases in a tertiary grade A hospital in a certain prefecture-level city from 2019 to 2023, explore the factors related to deceased patients, and provide a reference basis for continuously improving the level of treatment and reducing the mortality rate. Methods The first-page information of inpatient medical records from 2019 to 2023 was collected using the medical record statistics system. Combined with the International Classification of Diseases (ICD) rules, Excel 2007 and SPSS 19.0 software were used to conduct statistical analysis on the data of 2,789 deceased patients. Statistical charts were used to describe the distribution differences in mortality rates across different years, genders, age groups, emergency/critical care patients, and low-risk groups. The composition and ranking of the main causes of death (by disease category) and the composition and ranking of specific disease types of the main causes of death among inpatient deceased patients were analyzed, and the chi-square test (χ² test) was used for inter-group comparison.Results Over the 5-year period from 2019 to 2023, the mortality rate of the hospital was 0.61%, and the male-to-female ratio of inpatients was 1:1.07. The mortality rate was 0.80% for male patients and 0.43% for female patients.
The age group with the highest mortality rate among deceased patients was those aged 81 years and above (3.2%), followed by the 71-80 years group (1.11%). In terms of the proportion of deaths by age group, the 71-80 years group accounted for the highest proportion (24.60%), followed by the 61-70 years group (22.30%).
The top 3 disease categories in terms of the proportion of causes of death were tumors (29.94%), circulatory system diseases (28.11%), and respiratory system diseases (11.98%). The top 3 specific disease types causing death were acute myocardial infarction, lung cancer, and intracranial injury.
Patients admitted with acute conditions had the highest mortality rate (5.51%), followed by those admitted with critical conditions (0.67%).
A total of 88 patients died in the low-risk group over the 5 years, with a low-risk group mortality rate of 0.36‰. The highest low-risk group mortality rate in the 5 years was in 2022 (0.64‰), and the lowest was in 2023 (0.11‰).Conclusion To improve the comprehensive service capacity of disease diagnosis and treatment in tertiary public hospitals, it is necessary to optimize the allocation of hospital resources, strengthen the discipline construction and specialized service capacity of departments such as oncology, cardiovascular medicine, and critical care medicine, continuously enhance the ability and level of diagnosis and treatment of difficult and critical diseases, and promote the high-quality development of the hospital.
Wechat
