Epidemiologic Studies Of Emergency Patients In Yijishan Hospital

Objective: To understand and grasp the epidemiological features of emergency patients,to explore the disease spectrum characteristics of acute critical patients in the first affiliated hospital of Wannan Medical College(Yijishan hospital)and to provide reliable basis for the better development and scientific management of emergency medicine.And last but not least,the ultimate goal is to treat and cure emergency patients and cope with unexpected events more effectively and to better serve the patients.Methods: To collect the medical record data of emergency patients who have saw the doctors in emergency department of the first affiliated hospital of Wannan Medical College(Yijishan hospital)from January 2011 to December 2015 such as patients’ gender,age,and clinic time and disease spectrum of emergency patients and so on.And the Excel software was applied for statistical treatment.At the same time,retrospectively analysis method is used to survey and research the epidemiological features.Then summarize the patterns and related characteristics through charts.Results:(1)The number of emergency patients in Yijishan hospital has increased yearly but the variation tendency of those patients is not great.(2)Most of emergency patients are young(14 to 39 years old)and middle-aged group(40 to 59 years old)and most of acute critical patients are elderly group(60 to 79 years old).(3)More male patients than female patients among emergency patients and the acute critical patients.(4)The temporal distribution of the peak and slack period of doctors’ office visitingbetween emergency patients and the critical patients is roughly same,and the seasonal distribution of clinic is highest in summer and lowest in winter.(5)The ordering of disease spectrum of acute critical patients are traumatic diseases,circulatory diseases,diseases of the nervous system,respiratory system disease,digestive system diseases,poisoning and other diseases.(6)Most of Traumatic diseases are multiple traumas,the number of multiple injuries accounts for 59.14% of all trauma patients.Alcoholism,drug poisoning,pesticide poisoning are the major three diseases among poisoning.As to poisoning,alcohol poisoning accounts for 39.07%,drug poisoning accounts for 33.46%,and pesticide poisoning,21.24%.Pesticide poisoning diseases is concentrated in paraquat poisoning,accounting for 74.26% of the total number of pesticide poisoning patients.(7)The death toll in emergency cases is more male than female and the ratio is1.39:1.The death number has no big fluctuation in the past five years.Conclusion: This study reveals the patterns of patients’ gender,age,and clinic time and disease spectrum of emergency patients who have saw the doctors in emergency department of the first affiliated hospital of Wannan Medical College(Yijishan hospital)from January 2011 to December 2015.Results of this study are slightly different from other related scholars’,but the overall result is similar.The disease spectrum characteristics of acute critical patients are affected by geographical regions.Large sample data analysis task is heavier,but it is representative enough to reflect the regional epidemiological features of emergency patients in southern Anhui province intuitively.The results of epidemiologic studies can also be used to provide a reference basis for emergency rescue,the reasonable equipment of nurses in emergency department,education research and the establishment of public health policy.