中国循证医学杂志

中国循证医学杂志

西藏自治区人民医院 2014~2015 年住院患者死亡情况分析

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目的 分析西藏自治区人民医院 2014 ~2015 年住院患者的死亡情况,为研究用药合理性提供基线数据。 方法 提取医院信息管理系统 2014 ~2015 年出院患者死亡病历资料,采用国际编码 ICD-10 标化疾病分类,分析住院患者一般情况、死亡原因、单病种分布情况,采用 EXCEL 2007 软件计算频数、构成比和累计构成比。 结果 ① 两年出院患者共 40 147 例,死亡患者 339 例,占住院患者数的 8.44‰,死亡患者男女比为 2.08∶1。② 死亡构成比>10% 的有 4 类:循环系统疾病、损伤中毒外因引起疾病、呼吸系统疾病和消化系统疾病。③ 死亡构成比 5%~10% 的疾病有 3 类:肿瘤、症状体征和临床与实验室异常所见,不可归类在他处者、泌尿生殖系统疾病。④ 死亡的主要单病种有:脑出血、心肌梗死、呼吸衰竭、损伤、肺炎、肿瘤、新生儿缺血缺氧脑病等。 结论 西藏自治区人民医院死亡病例主要集中在 25~59 岁年龄段,循环系统疾病是主要死因。

Objective To analyze the death constitution of inpatients in The Tibet Autonomous Region People's Hospital from 2014 to 2015 and to provide baseline data for further rational drug use. Methods The medical records of death inpatients between 2014 and 2015 were collected. We classified all diseases according to the international classification of diseases coding (ICD-10) and analyzed the general situation, main death discharge diagnosis and single death diseases. Distribution of inpatients frequency, constituent ratio, cumulative frequency of death diseases were calculated by EXCEL 2007 software. Results (1) A total of 40 147 patients were discharged and 339 (8.44‰) inpatients died between 2014 and 2015. The sex ratio of male to female was 2.08 to 1 for death inpatients. (2) Death constitution of four diseases' categories were over 10%, including circulatory system diseases, exogenous injury or poisoning system diseases, respiratory system diseases, and digestive system diseases. (3) Death constitution of 3 diseases' categories were between 5% to 10%, including tumor, abnormal signs and symptoms, urogenital system diseases. (4) The main death cause single diseases were cerebral hemorrhage diseases, myocardial infarction, respiratory failure, damage, pneumonia, cancer, neonatal hypoxic-ischemic encephalopathy. Conclusion The main death inpatients of the Tibet Autonomous Region People's Hospital are of the age 25 to 59, and the main death cause diseases are circulatory system diseases.

关键词: 西藏自治区人民医院; 住院患者; 死亡; 疾病构成

Key words: Tibet Autonomous Region People's Hospital; Inpatient; Death; Disease constitution

引用本文: 索朗央宗, 李幼平, 张伶俐, 喻佳洁, 归舸, 泽碧, 白玛央宗, 达瓦平措. 西藏自治区人民医院 2014~2015 年住院患者死亡情况分析. 中国循证医学杂志, 2017, 17(5): 501-506. doi: 10.7507/1672-2531.201608010 复制

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