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目的了解医院死亡病例特征分布、死因顺位情况,分析比较直接死因与根本死因,为医院有针对性地改善患者治疗和管理,提高患者生存率提供参考依据。方法按照《国际疾病分类》ICD-10分类标准,采集某院2013年-2015年1380例死亡病例的死因编码,采用构成比、均数等指标和卡方检验、t检验的方法进行统计分析。结果院内死亡病例以60岁以上者为主(80.22%),平均死亡年龄70.71±17.67岁。排前2位的根本死因是恶性肿瘤(40.43%)、循环系统疾病(33.70%);第一直接死因前3位为呼吸系统疾病(26.09%)、循环系统疾病(24.13%)和恶性肿瘤(23.91%)。结论医院应重点监护和管理恶性肿瘤、循环系统疾病、呼吸系统疾病患者,积极探索分析疾病发生发展至死亡的临床过程,在关键环节对疾病进行预防控制和干预,从而提高患者的生存率。
Objective To understand the distribution of hospital deaths, the cause of death, and to compare and analyze the direct cause of death and the underlying cause of death, which will provide reference for the hospital to improve the treatment and management of patients and improve the survival rate of patients. Methods According to the International Classification of Diseases ICD-10 classification, the cause of death code of 1380 deaths in a hospital from 2013 to 2015 was collected. The constituent ratios, mean and other indicators were used for statistical analysis by chi-square test and t-test. Results The majority of hospital deaths were over 60 years old (80.22%) with an average age of death of 70.71 ± 17.67 years. The first three causes of death were malignant tumors (40.43%) and circulatory diseases (33.70%). The first three direct causes of death were respiratory diseases (26.09%), circulatory diseases (24.13%) and malignant tumors 23.91%). Conclusion The hospital should focus on monitoring and managing patients with malignant tumors, circulatory diseases and respiratory diseases, and actively explore and analyze the clinical course from the occurrence of disease to death, and prevent and control the disease in the key aspects so as to improve the survival rate of patients.