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回顾性研究 2013-2019 年期间中国中部一家大型综合医院传染病科出院疾病种类的变化。

A retrospective study of variations in the kinds of diseases discharged from the Department of Infectious Diseases of a large general hospital in Central China during 2013-2019.

机构信息

Department of Infectious Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.

出版信息

Front Public Health. 2024 Feb 14;12:1289972. doi: 10.3389/fpubh.2024.1289972. eCollection 2024.

Abstract

OBJECTIVE

To analyze the changing trend of the absolute number and constituent ratio of various in-patient diseases in the Department of Infectious Diseases of a large general hospital in Central China during 2013-2019.

METHODS

A retrospective study was conducted to analyze the diagnostic data of discharged patients for seven consecutive years, from 2013 to 2019. The first discharge diagnosis is used as the basis for the disease classification. The absolute number, constituent ratio, and changing trend of major diseases in hepatobiliary diseases and infectious diseases were analyzed.

RESULTS

The changing trend of the diseases during 2013-2019 showed that the absolute number of cases of hepatobiliary disease did not change significantly ( = 0.615), while the constituent ratio decreased significantly, from 68.01% in 2013 to 55.29% in 2019 (<0.001). The absolute number (constituent ratio) of cases of infectious diseases increased significantly from 585 (21.91%) in 2013 to 1,244 (36.86%) in 2019 ( = 0.015, <0.001). The major part of the increase was non-communicable infectious diseases (NCIDs).

CONCLUSION

During 2013-2019, the proportion of cases of hepatobiliary disease gradually decreased. The absolute number and proportion of cases of infectious diseases, especially NCIDs, have increased rapidly.

摘要

目的

分析华中地区某大型综合医院感染科 2013-2019 年期间住院患者各类疾病的绝对数量和构成比变化趋势。

方法

采用回顾性研究方法,分析 7 年来(2013-2019 年)连续出院患者的诊断数据。以首次出院诊断为疾病分类依据,分析肝胆疾病和传染病中主要疾病的绝对数量、构成比及其变化趋势。

结果

2013-2019 年疾病变化趋势显示,肝胆疾病的绝对病例数无明显变化( = 0.615),但构成比从 2013 年的 68.01%显著下降至 2019 年的 55.29%(<0.001)。传染病的绝对病例数(构成比)从 2013 年的 585 例(21.91%)显著增加到 2019 年的 1244 例(36.86%)( = 0.015,<0.001)。增加的主要部分是非传染性传染病(NCIDs)。

结论

2013-2019 年期间,肝胆疾病的病例比例逐渐下降。传染病,尤其是 NCIDs 的绝对病例数和比例迅速增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc3c/10899503/14149dd26352/fpubh-12-1289972-g001.jpg

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