| Objective:In order to provide data and evidence for all aspects of emergency department including making construct,doing plans and developping scientific research and teaching,I analysed the epidemiological characteristics of emergency department patients in the first affiliated hospital in Qiqihar.Methods:The data of emergency darpartment patients were collected from a grade A teriary in Qiqihar Hospital in 2015 year,including sex,age,treatment time,visiting the month,diagnosis,observation time,disease grades,the time to stay green channel,patients' outcomes and emergency costs,and so on.The data was put into excle summary,using SPSS 22.0 statistical software for analysis.Descriptive statistical methods analyze patients' general condition,critically ill patients,six key diseases and the patients' outcome for exploring reglulation of hospitaled tatients.The measurement data was described as (?) ± S.Counting data was described as frequency and constituent ratio,and distribution of six key diseases in the population and time distribution was using chi-square test.Result:1.There were 17346 emergency patients in 2015,and male/female ratio was 1.13 to 1.The average age of patients was 48.35 ± 18.27 years old and their age concentrated in 50-59,acconting for 22.7%.Emergency department patients mainly concentrated in the spring and autumn,reaching clinical peak in February and October The time of 8:00-9: 00 was the peak of treatment,accounting for 9.8% of patients throughout the day.2.5378 cases of critically ill patients,accounted for 31.0% of all emergency patients.Man more than women and ratio was 1.3.The average age was 46.15 ± 18.90.The average of critically ill patients concentrated in 50-59,accounting for 21.8%,reaching peak in February,March and April and time to focus on the 8:00 to 9: 00.3.The State Health Service stipulated that six major diseases were acute stroke,acute heart failure,acute respiratory failure,severe trauma and severe brain injury.A total of 2184 patients were diagnosed as six major disease,accounting for 12.6% of all emergency patients in 2015.There were 1150 males and 1032 females and ratio of male/female was 1.1: 1.The patients were mainly concentrated in more than 50 years old,especially acute cerebral infarction and acute heart failure were mainly focusing on more than 70 years old.The distribution of six major diseases has no significantly difference in different time(P<0.05).Acute stroke patients were higher than other disdese in different seasons.The distribution of severe trauma and severe craniocerebral trauma has no significantly difference in different seasons.The patients of acute respiratory reached to peak in winter.Six major patients focused on 7: 00 ~ 19: 00.4.The outcomes of patients were divided into four groups: admission,hospitalization and hospitalization and death,and hospitalization accounting for 87.1%.The patients with severe trauma were admitted to hospital and the acute stroke patients were mostly in observation or hospital.There were 53 death patients of which critically ill patients accounting for 86.8%.The clinical status of the patients affected its outcome,and the degree of four patients were mainly departed from the hospital.The patients in the first degree were 48 cases,accounting for 90.6% of the total mortality.The patients clinical outcomes has significantly difference in different diseases(P<0.05).Conclusion:1.Emergency department patients(17346)in 2015.The emergency male patients more than female,and mainly concentrated in the elderly population.The patients seen paek in spring,autumn and time focused on 8: 00-9: 00.2.The majority of the emergency department patients were trauma and cardiovascular disease,and the patients with critical illness patients often had poor outcome.Therefore,we should take steps to further improve the quality of diagnosis and treatment of emergency patients to decrease the social burden of disease to the minimum. |
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