Mortality Mortality in Low-risk Group Nosocomial Infection Ranking of Causes of Death
目的：了解三级公立医院的死亡患者分布特征，为医院管理策略提供依据。方法：从某三级公立医院信息系统筛选出2019年-2021年死亡患者295例，统计分析死亡风险各因素，以P＜0.05 表示差异有统计学意义。结果：男性患者、年龄大于等于60岁年龄段患者的死亡占比更高，45-59岁年龄段死亡患者平均住院日和次均费用更高，差异有统计学意义；死亡患者院内感染发生率更高，住院天数和住院费用更多；该院死因病种的前三顺位分别为循环系统疾病、恶性肿瘤和各类损伤或中毒疾患。结论：医院应当加强对重点住院人群的监护，控制院内感染发生率，提升医院医疗技术，最大程度降低住院患者死亡率。
Objective：To understand the distribution characteristics of dead patients in acertain tertiarypublic hospital，and to provide strategic basis for hospital management. Methods：A total of 295 patients who died in a certain tertiary public hospital from 2019 to 2021 were screened from the information system，statistical analysis of death risk factors. P < 0.05 indicated that the difference was statistically significant. Results：Male patients and patients aged ≥60 years had a higher proportion of deaths，and patients aged 45-59 years old had higher average hospitalization days and average cost per time，and the difference was statistically significant.The incidence of nosocomial infection in dead patients was higher. The number of hospitalization days and hospitalization expenses are higher.The top three causes of death in this hospital are circulatory system diseases，malignant tumors，and various injuries or poisoning diseases. Conclusion：Hospitals should strengthen the monitoring of key inpatient populations，control the incidence of nosocomial infection，improve hospital medical technology，and reduce the mortality rate of hospitalized patients to the greatest extent.