目的 摸清我院死亡患者死因构成及变化,掌握死亡报告中存在的问题,促进监测及防控工作更加科学、规范.方法 回归性分析2010-2011 年死亡报告的资料,并通过自查门诊日志和住院病历统计并比较迟报率、漏报率及编码错误率等.利用Excel 2003、SPSS17.0 软件汇总及分析数据,不同层次间的比较经统计学检验.结果 2010-2011 年全院共报告死亡病例648 例.死亡报告居前三位的死因分别是恶性肿瘤、心脏病、损伤与中毒,构成比分别为25.15%、25.00%、17.28%.死亡报告漏报率、迟报率分别为2.78%、1.23%,未发现有编码错误的死亡病例.结论 各年龄组的死因构成不同,但是慢性非传染性疾病已经成为危害居民健康的主要疾病,应加强干预预防;另外通过各项制度的建立和完善、医务人员报告意识的增强,死亡报告质量可以得到提升.%Objective To study the structure and change of the cause of patients' death in our hospital, and to grasp the problems existing in the death report, so as to promote the monitoring and prevention work more scientific and standardized. Methods The death reports in 2010-2011 were analyzed retrospectively. The rate of delayed report, rate of missing report, and rate of coding error were collected and compared by self-examining outpatient service log and hospitalization medical records. Excel 2003 and SPSS 17.0 were used for processing data, and the different levels were compared by statistical method. Result Six hundred and forty-eight death cases were reported in 2010-2011. Malignant tumor, heart disease, injury and poisoning were major cause of death, accounting for 25.15%, 25.00% and 17.28%, respectively. The rate of delayed report and rate of missing report were 2.78%, 1.23%, respectively, with no coding error. Conclusion Patients of different age group have varied constitution in the cause of death. We should strengthen the prevention and intervention of chronic non-communicable diseases, which have become the main disease to harm residents' health. By establishing and improving various institutions, as well as enhancing the reporting consciousness, the quality of death reporting in the hospital would improve.
展开▼
