摘要
目的调查首都医科大学宣武医院2011年老年住院患者的疾病构成,为进一步研究提供基线数据。方法收集该院2011年≥60岁老年出院患者的病历资料,根据国际疾病分类编码(ICD-10)标化出院记录的全部诊断并系统归类,用Microso Excel 2007软件描述性分析住院患者一般情况、全部出院诊断以及病种与年龄和性别分布的关系,并用SPSS 17.0软件进行假设性检验。结果①2011年该院老年出院患者共13 807例,占全年总出院人数的39.79%。男女性别比为1.26︰1;每个患者疾病种数为1～11种不等,平均为4.41种;②患1种疾病的患者累及系统依次为神经系统疾病、肿瘤、消化系统疾病。患2种疾病的患者其主要诊断和次要诊断累及系统最多的均为循环系统疾病。③全部诊断累及系统共18类,前7类疾病依次为循环系统疾病,内分泌、营养和代谢疾病,消化系统疾病,呼吸系统疾病,泌尿生殖系统疾病,肿瘤,神经系统疾病,累积构成比为83.4%;主要诊断累及系统共18类,前5类疾病依次为循环系统疾病、肿瘤、消化系统疾病、呼吸系统疾病、神经系统疾病,累积构成比为68.8%。④循环系统疾病中,前6位疾病依次为脑梗死、入脑前动脉的闭塞和狭窄(未造成脑梗死)、心绞痛、急性心肌梗死、动脉粥样硬化症、慢性缺血性心脏病,累积构成比为69.8%,不同年龄段不同性别患病情况显著不同的疾病为脑梗死、心绞痛、急性心肌梗死、慢性缺血性心脏病(P<0.05)。结论 2011年首都医科大学宣武医院老年住院患者的疾病构成情况复杂,主要疾病以循环系统疾病为主。提示在后续研究中应继续关注循环系统疾病用药情况,为制定我国老年人高风险药品目录和老年人疾病防治提供依据。
Objective To investigate disease constitution of elderly inpatient in the Xuanwu Hospital, Capital Med- ical University in Beijing in 2011, so as to provide baseline data for further study. Methods Elderly （patients no less than 60 years old） inpatients＇ records in the Xuanwu Hospital, Capital Medical University in 2011 were collected. Based on all the diagnosis on hospital discharge records, the diseases were standardized and classified according to the International Classification of Disease, toth Edition （ICD-10）. Data （including general information of the inpatients, all discharge diag- nosis, and the distribution of disease type, age and sex） were analyzed through descriptive analysis using Microsoft Excel 2007 software. SPSS 17.0 software was performed for hypothesis test. Results a） The total numbers of elderly inpatients were 13 807 in 2011, accounting for 39.79% of all the inpatients. Males were more than females （male： female=l.26 to 1）. The average kind of disease each patient was diagnosed with was 4.41, ranging from 1 to 11. b） The disease spectrum of patients with one disease was nervous system diseases, neoplasms, and digestive system diseases. The primary and second- ary diseases of patients with two diseases were mostly circulatory system diseases, c） All the diagnosis included 18 catego- ries, the top 7 were circulatory system diseases, endocrine, nutritional and metabolic diseases, digestive system diseases, respiratory system diseases, and nervous system diseases, accounting for 83.4% of all the diagnosis. The primary diagnosis included 18 categories, the top 5 were circulatory system diseases, neoplasms, digestive system diseases, respiratory sys- tem diseases, and nervous system diseases, accounting for 68.6% of all the elderly inpatients, d） In the circulatory system diseases, the top 5 diseases were cerebral infarction, occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction, angina pectoris, acute myocardial infarction, atherosclerosis, chronic ischaemic heart disease, accounting for 69.8% of all the circulatory system diseases patients. Diseases in different age and gender group were cerebral infarction, angina, acute myocardial infarction, and chronic ischemic heart disease （P〈0.05）. Conclusion The disease constitution of the Xuanwu Hospital, Capital Medical University is complex, and the primary diagnosis is mainly circulatory system diseases. It can be concluded that in the following studies attention should be paid to drug utilization of circulatory system diseases, so as to provide evidence for making the China specific potentially inappropriate medicine list and disease prevention for the elderly.
出处
《中国循证医学杂志》
CSCD
2013年第4期385-392,共8页
Chinese Journal of Evidence-based Medicine
基金
国家卫生部科技教育司卫生行业科研专项(编号:201002011)
关键词
老年
住院患者
疾病构成
横断面研究
Elderly
Inpatient
Disease constitution
Cross-sectional study
