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目的了解某综合医院急诊科死亡患者的基本情况及根本死因构成,为医院优化资源配置,提高医疗质量提供依据。方法对该院2015年1月-2016年12月995例急诊科死亡患者案例信息进行回顾性分析,根据ICD-10编码分类,应用帕累托图分析死因的构成情况。结果 995例死亡案例中,死亡最多的年龄段为80岁~89岁,各年龄段差异显著(χ~2=438.493,P<0.05)。男性多于女性(χ~2=5.653,P<0.05)。死亡案例季节分布存在差异(χ~2=20.924,P<0.05),春季和冬季死亡患者较多,帕累托图分析结果显示:根本死因以循环系统疾病及呼吸系统疾病为主。结论急诊科死亡案例死因相对集中,医院应有针对性地开展急诊救治工作,并且根据年龄、性别及季节分布特点优化资源配置,更有效地提高急诊危重患者救治成功率。
Objective To understand the basic situation and the cause of death of the patients who died in the emergency department of a general hospital and provide the basis for the hospital to optimize the allocation of resources and improve the quality of medical care. Methods A retrospective analysis was performed on the case information of 995 death patients from January 2015 to December 2016 in the hospital. According to the ICD-10 coding classification, the cause of death was analyzed by Pareto chart. Results Among the 995 deaths, the most dead were from 80 to 89 years of age, with significant difference in all age groups (χ ~ 2 = 438.493, P <0.05). More men than women (χ ~ 2 = 5.653, P <0.05). There were differences in seasonal distribution of death cases (χ ~ 2 = 20.924, P <0.05), with more deaths in spring and winter. Pareto chart analysis showed that the underlying cause of death was mainly circulatory and respiratory diseases. Conclusions The cause of death in the emergency department is relatively concentrated. The hospital should carry out the emergency treatment in a targeted manner and optimize the allocation of resources according to the characteristics of age, sex and season distribution so as to effectively improve the success rate of emergency treatment in critically ill patients.