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20856例急诊患者疾病谱及就诊特点
罗东,赵海云,徐超,彭飞,曹钰,姚蓉
0
(达州市中西医结合医院急诊科;四川大学华西医院急诊科)
摘要:
目的 分析达州市中西医结合医院急诊科就诊患者的疾病谱构成及就诊特点,为进一步明确救治重点、优化急诊流程、优化及合理使用急诊资源提供数据支撑。方法 通过调取达州市中西医结合医院HIS系统2017年1月1日0:00~2017年12月31 日23:59急诊就诊共计20856例患者的基本信息及诊断资料,分析患者的性别、年龄、就诊时间、疾病种类、是否住院等情况,采用描述性统计方法进行分析,SPSS 25.0软件进行统计学处理,率的比较采用X2检验。结果 20856例患者中,男性比例高于女性;年龄组以青年组(45.97%)急诊就诊率最高;一年四季中夏季(26.63%)就诊量最多,春季(23.46%)最低;8月(9.58%)为急诊就诊月高峰,4月(7.49%)为低谷期;急诊就诊量星期时间点波动(14.02%~14.59%)不明显,周末效应不明显;急诊全天1小时高峰时段为20:00~21:00时,4小时高峰时段为18:00~22:00时;疾病谱中以外伤(2330%)、消化系统(21.25%)、其他类(1429%)为前三位病种。全年急诊就诊患者住院率明显高于同期门诊患者住院率。结论 该医院急诊患者就诊有一定的规律性,医院可考虑根据该规律提前增排加强班。急诊科医护人员应加强对排名前位系统疾病的诊治流程进行优化及学习,并加强急诊外科建设。
关键词:  急诊患者疾病谱  就诊规律  急诊临床特点  流行病学
DOI:
基金项目:四川省科技厅科普培训项目(2018KZ0043);成都市科技惠民项目(2016-HM02-00099-SF)
Analysis of disease spectrum and clinical characteristics of 20856 emergency patients
LUO Dong,ZHAO Hai Yun,XU Chao,PENG Fei,CAO Yu,YAO Rong
(Emergency Department, Dazhou Integrated TCM & Western Medicine Hospital;Emergency Department, West China Hospital, Sichuan University)
Abstract:
Objective To provide data support for further clarifying the key points of treatment, optimizieemergency procedures and rationally using emergency resources. Methods The basic information and diagnostic data of 20,856 emergency patients during the period from 0:00 on January 1, 2017 to 23〖DK〗∶59 on December 31, 2017 were collected through the hospital HIS system. The gender and age of the patients were collected. The time of treatment, type of disease and admission were analyzed.Results Among the 20,856 patients, the male was more than that of females. Youth group (4597%) had the highest rate of emergency treatment. The highest and lowest patient visits were seen in the summer (26.63%) and in the spring (23.46%) respectively. August is the the monthly peak of emergency visits (958%), while April is the valley value (7.49%). Emergency visits weektime fluctuations (14.02%1459%) was not obvious. For one day, the peak hour was 20:0021:00, 4 hours peak hours was 18:0022:00. Trauma (23.30%), digestive system (2125%) and other diseases (1429%) were the top three diseases in disease spectrum. The hospitalization rate of emergencypatients in the whole year was 1441%, which was significantly higher than that of outpatients in the same period. Conclusion The emergency department of the hospital has a certain regularity, and the hospital may consider increasing the class in advance according to the law.
Key words:  Emergency patient disease spectrum  Treatment rules  Clinical characteristics  Epidemiology

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