CAJ | 학술논문

目的通过对某综合性三甲医院3年中入院24小时内死亡病例统计分析，为医院质量管理和专科建设提供数据。方法从病案查询系统收集全部入院24小时内死亡病例的信息，统计年龄、性别分布、病例分型、诊断符合率、死因顺位、费用、收治科室等。结果医院3年中入院24小时内死亡病例数和比例平稳下降；死亡病例中男性高于女性，以中老年为主，病例分型以C、D型为主，死因主要为车祸、外伤、中毒、心脏疾病、脑卒中和恶性肿瘤，诊断符合率高于同期住院患者，收治科室集中于重症医学、神经外科和心内科，前两位手术为颅内血肿清除术和去骨瓣减压术，住院费用无明显波动。结论入院24小时内死亡病例的数据反映出医院急救诊疗、医疗质量、医政管理等多方面的信息，应加强对此类数据的长期监控和内涵分析。
목적통과대모종합성삼갑의원3년중입원24소시내사망병례통계분석，위의원질량관리화전과건설제공수거。방법종병안사순계통수집전부입원24소시내사망병례적신식，통계년령、성별분포、병례분형、진단부합솔、사인순위、비용、수치과실등。결과의원3년중입원24소시내사망병례수화비례평은하강；사망병례중남성고우녀성，이중노년위주，병례분형이C、D형위주，사인주요위차화、외상、중독、심장질병、뇌졸중화악성종류，진단부합솔고우동기주원환자，수치과실집중우중증의학、신경외과화심내과，전량위수술위로내혈종청제술화거골판감압술，주원비용무명현파동。결론입원24소시내사망병례적수거반영출의원급구진료、의료질량、의정관리등다방면적신식，응가강대차류수거적장기감공화내함분석。
Objective Through statistical analysis on death cases admitted into hospital within 24 hours in a tertiary hospital in past three years, provide data for hospital's quality management and specialty development. Methods Collected information of death cases admitted into hospital within 24 hours from the medical records system and calculate age, gender distribution, case variety, diagnosis coincidence, death cause sequence, cost, admission department and so on. Results The amount and proportion of death cases within 24 hours descended stably. In these cases, male were more than female and most were middle-aged with C&D category diseases. The main causes of death were car accident, injury, intoxication, cardiac disease, cerebral apoplexy and malignant tumor. Their diagnosis coincidence was higher than that of other inpatients in the same period. These cases were mainly admitted to ICU, neurosurgery and cardiovascular department. The evacuation of intracranial hematoma and decompressive craniectomy were the top two surgeries in these death cases. There was no severe fluctuation in the hospitalization cost. Conclusion Information about death cases admitted into hospital within 24 hours could reflect hospital emergency treatment, medical quality and administration. Therefore, long-term monitoring and connotation analysis on such data should be strengthened in our hospital.