文章摘要
张进,洪烈城,王兴鲍,魏雅臻,胡钢,吴思晗,程锦泉.深圳市1995-2014年因病住院及死亡原因分析[J].中华流行病学杂志,2018,39(10):1309-1313
深圳市1995-2014年因病住院及死亡原因分析
A study on the burden and causes of hospitalization and deaths in Shenzhen, between 1995 and 2014
投稿时间:2017-12-07  
DOI:10.3760/cma.j.issn.0254-6450.2018.10.004
中文关键词: 深圳市;住院;死亡;疾病谱;死亡谱
英文关键词: Shenzhen;Hospitalization;Hospital mortality;Disease spectrum;Death spectrum
基金项目:
作者单位E-mail
张进 510515 广州, 南方医科大学公共卫生学院  
洪烈城 510515 广州, 南方医科大学公共卫生学院  
王兴鲍 510080 广州, 中山大学公共卫生学院  
魏雅臻 510080 广州, 中山大学公共卫生学院  
胡钢 510080 广州, 中山大学公共卫生学院  
吴思晗 510080 广州, 中山大学公共卫生学院  
程锦泉 518055 深圳市疾病预防控制中心 cjinquan@szcdc.net 
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中文摘要:
      目的 通过对1995-2014年深圳市间因病住院及死亡的监测数据进行分析,了解深圳市因病住院、死亡疾病谱及变化情况,为疾病的科学防控提供决策依据。方法 采用《国际疾病分类ICD-9》和《国际疾病分类ICD-10》分类标准对住院患者及死亡监测数据进行分编,建立数据库并进行描述性分析和趋势性检验。结果 1995-2014年间,深圳市住院累计约630万人,住院病种前5位分别是妊娠分娩和产褥期并发症、呼吸系统疾病、损伤和中毒、消化系统疾病和循环系统疾病,占住院总人数的68.4%,住院人数呈逐年上升趋势,20年间增加11倍。妊娠分娩和产褥期并发症、循环系统疾病和泌尿生殖系统疾病住院构成比均呈逐年上升趋势(χ2=53 806.94、6 893.95和15 383.14,P<0.01),损伤和中毒、呼吸系统疾病、消化系统疾病呈逐年下降趋势(χ2=131 480.09、1 711.84和11 367.66,P<0.01)。累计住院死亡约6万多人,死因构成前5位依次为恶性肿瘤、循环系统疾病、损伤和中毒、呼吸系统疾病和消化系统疾病,占住院患者82.28%。其中,循环系统疾病、损伤和中毒呈先升后降趋势,恶性肿瘤和呼吸系统疾病总体呈现上升趋势(χ2=1 546.48和309.55,P<0.01)。总体病死率呈现逐年下降趋势(χ2=4 378.63,P<0.01),由1995年的2.23%下降至2014年的0.74%,肿瘤和循环系统疾病病死率下降幅度较大。结论 深圳市正逐渐步入老龄化,肿瘤等慢性非传染性疾病逐渐成为深圳市住院患者死亡的主要疾病。
英文摘要:
      Objective Data from the surveillance program was collected, to analyze the situation of hospitalization and cases of death with recorded causes, in Shenzhen, from 1995 to 2014. Situation of hospitalization and causes of deaths were studied in Shenzhen which had been a fast-developing city with growing number of immigrants so as to provide reference for decision-making on related prevention and control strategies. Methods Data on hospitalizations and deaths collected from the surveillance program, were classified by both International Classification of Diseases (ICD)-9 and ICD-10. A database was constructed with methods on related descriptive and trend analysis. Results Around 6.3 million inpatients were seen in the past two decades in Shenzhen. The top five diseases for hospitalization were pregnancy childbirth and puerperium complications, respiratory diseases, injury and poisoning, digestive system diseases and circulatory system diseases, that accounting for 68.4% of all the hospitalization burden. The number of inpatients increased annually, with an 11 times increase during the past two decades. Proportions for pregnancy childbirth and puerperium complications, circulatory system diseases and urinary system diseases all showed increasing (χ2=53 806.94, 6 893.95 and 15 383.14, P<0.01), while proportions for injuries and poisoning, respiratory diseases, digestive system diseases showed a declining trend (χ2=131 480.09, 1 711.84 and 11 367.66, P<0.01). Number of cumulative inpatient deaths exceeded 60 000, with the top five causes as malignant tumor, circulatory system diseases, injury and poisoning, respiratory system diseases and digestive system diseases, that accounting for 82.28% of all the inpatient deaths. Deaths due to circulatory system diseases, injury and poisoning increased and then decreased. Malignant tumor and respiratory diseases-induced deaths showed an increasing trend (χ2=1 546.48, 309.55, P<0.01), while induced deaths from disease of the other systems showed slight changes. The overall case fatality rate showed an annual decline (χ2=4 378.63, P<0.01), from 2.23% in 1995 to 0.74% in 2014, with mortality attribute to tumor, circulatory system disease decreased significantly. Conclusions Shenzhen had been under an ageing transition, with relatively young population living in the city. Chronic diseases such as tumor gradually had become the major causes for heavy hospitalization burden on the population of Shenzhen.
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