刘红新, 武小娟, 孟舰, 王晓雨. 沧州市某三甲医院2017—2021年急诊科死亡病例特征分析[J]. 职业卫生与应急救援, 2023, 41(5): 567-570. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.008
引用本文: 刘红新, 武小娟, 孟舰, 王晓雨. 沧州市某三甲医院2017—2021年急诊科死亡病例特征分析[J]. 职业卫生与应急救援, 2023, 41(5): 567-570. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.008
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LIU Hongxin, WU Xiaojuan, MENG Jian, WANG Xiaoyu. Characteristics of death cases in the emergency department of a tertiary hospital in Cangzhou City from 2017 to 2021[J]. Occupational Health and Emergency Rescue, 2023, 41(5): 567-570. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.008
Citation: LIU Hongxin, WU Xiaojuan, MENG Jian, WANG Xiaoyu. Characteristics of death cases in the emergency department of a tertiary hospital in Cangzhou City from 2017 to 2021[J]. Occupational Health and Emergency Rescue, 2023, 41(5): 567-570. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.008
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沧州市某三甲医院2017—2021年急诊科死亡病例特征分析

Characteristics of death cases in the emergency department of a tertiary hospital in Cangzhou City from 2017 to 2021

    摘要
  • 摘要:
      目的  调查沧州市三甲医院急诊病例病死率情况，为提高急诊科抢救成功率提供依据。
      方法  统计2017—2021年沧州市某大型综合性三甲医院急诊接诊病例数与死亡病例数量，收集死亡病例资料，分析该医院5年急诊科死亡病例特点和变化情况。
      结果  该三甲医院急诊科5年间合计接诊病例77 686例，死亡404例，病死率0.52%。接诊病例数随着年份有上升趋势，病死率有逐年下降趋势(趋势χ2=49.115，P＜0.01)。死亡病例主要死因依次为循环系统疾病、损伤中毒和外伤、呼吸系统疾病。男女比例2.04∶1，≥45岁(344例，占85.15%)是死亡病例的集中人群，60岁以上占55.94%。死亡病例在夏季构成比略高(112例，占7.72%)，01：01—08：00占比最低(占11.88%)。404例死亡病例中，急诊室滞留时间大多为＞15~30 min，(占70.79%)。死亡病例在急诊室滞留时间≤15 min的比例逐年递增，急诊室滞留时间＞30 min的比例逐年递减(χ2=40.286，P＜0.001)。
      结论  近5年该三甲医院急诊病死率高逐年下降，急诊救治质量逐年提高。医院急诊病例病种、病死率高低与多种因素有关。各级医院应遵循“分区分级”原则展开急诊科抢救工作，针对主要死因和各类急危重症，强化急诊医学学科建设，满足急诊病例需求。

     

    Abstract:
      Objective  To understand the mortality of emergency cases in a tertiary hospital in Cangzhou City and provide a basis for improving the success of emergency rescue.
      Methods  The number of emergency visits and death cases in a large comprehensive tertiary hospital in Cangzhou City from 2017 to 2021 were collected, and the characteristics of death cases and change patterns in the emergency department over 5 years were analyzed.
      Results  Over 5 years, a total of 77 686 emergency visits were received in this emergency department. Among these, 404 deaths occurred, with a mortality of 0.52%. The number of emergency visits showed an upward trend over the years, while mortality showed a downward trend year by year(trend χ2= 49.115, P < 0.01). The leading causes of death were cardiovascular diseases, injuries and poisonings, and respiratory diseases. The male-to-female ratio of mortality was 2.04 ∶1. The majority of deaths occurred in individuals aged 45 and above(344 cases, 85.15%), with 60 years and above accounting for 55.94%. The proportion of deaths was slightly higher in the summer(112 cases, accounting for 7.72%), and the time of lowest occurrence was during 01:00-08:00(accounting for 11.88%). In 404 cases of death, most deaths(70.79%) occurred within 15-30 min after being sent to the emergency department. However, the number of deaths that occurred within 15 min after being sent to the emergency department increased year by year, while the number of deaths that occurred 30 min later decreased(χ2=40.286, P < 0.001).
      Conclusions  In the past 5 years, the emergency mortality in this tertiary hospital has decreased gradually, and emergency treatment quality has improved year by year. The disease spectrum and mortality of emergency cases were associated with many factors. Hospitals at all levels should carry out emergency rescues according to the principle of "graded diagnosis and treatment". Hospitals should allocate resources rationally, strengthen the development of emergency medicine disciplines to meet the needs of emergency patients.

     

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