Analysis Of Disease Spectrum Of Inpatients In Neurology Department Of A Thirdgrade Class-A Hospital In Changchun City From 2009 To 2018

OBJECTIVE:To study the disease spectrum composition and changes in the neurology department of a third-grade class-A hospital in Changchun City during 2009-2018,and provide evidence for the scientific management of hospitals and the rational input of medical resources,as well as health Provide reference for policy development and disease prevention and clinical case studies.Methods:Statistical analysis was performed on the data of inpatients in neurology from January 1,2009 to December 31,2018 through retrospective data analysis.Result:(1)The number of inpatients in neurology increased during the 10 years,and the number of inpatients in 2018 increased by 47.7% compared with 2009.During the 10 years,the gender ratio and the average age of patients showed an overall upward trend.The proportion of patients who were cured and improved in 2016-2018 decreased.There was no significant change in the mortality rate of inpatients during the 10 years.(2)The number of inpatients in all ages was higher in males than in females.The male-female ratio(1.48-1.86:1)for patients aged 30-59 was higher than the male-female ratio for patients over 60 years old(1.07-1.26:1).(3)The neurology inpatients accounted for the highest proportion in the 60-69 age group,and the proportion of patients in this age group increased significant in 10 years.The 80-80-year-old age group and the under 30-year-old hospitalized patients There was no significant change in the proportion,and the proportion of inpatients in other age groups declined.(4)Among hospitalized patients,the top 10 diseases during the 10 years were cerebral infarction,cerebral artery/vertebral basilar artery insufficiency,TIA,vertigo syndrome,cerebral hemorrhage,extraocular muscle paralysis,facial paralysis,epilepsy,headache,Parkinson's disease.(5)Among the hospitalized patients under the age of 30,encephalitis/meningitis accounted for the highest proportion.Among hospitalized patients aged 30 years and older,cerebrovascular disease accounted for the highest proportion,but the proportion of cerebrovascular disease in patients aged 80 years and older decreased.The proportion of Parkinson's disease increased in hospitalized patients aged 60 years and older.(6)The proportion of cerebral infarction,vertigo syndrome and extraocular muscle paralysis increased in hospitalized patients in 10 years;the proportion of cerebral artery/vertebral basal blood supply,headache,epilepsy and Parkinson's disease decreased overall.There was no significant trend change in the proportion of TIA,cerebral hemorrhage and facial paralysis.(7)The average age of stroke subtypes and TIA hospitalized patients was lower than the national average.The proportion of patients with ischemic cerebrovascular disease in neurological hospitalized patients is significantly higher than that of hemorrhagic cerebrovascular disease.(8)The proportion of viral infections in encephalitis/meningitis is the highest,reaching 40.4%.Since 2018,the proportion of autoimmune encephalitis in patients with encephalitis/meningitis has increased significantly.Conclusion:(1)The increase in the number of patients with cerebrovascular disease and changes in health care policies may affect the number of inpatients in neurology.(2)The high prevalence of cerebrovascular disease in the northeast region has led to a higher proportion of cerebrovascular disease in hospitalized patients with neurology than in domestic similar studies.(3)The high exposure of residents of the northeastern region to risk factors for cerebrovascular disease may lead to a relatively younger inpatients with cerebrovascular disease.(4)Changes in the proportion of disease components are affected by the epidemic characteristics and health care policies;advances in diagnosis and treatment affect the disease composition of hospitalized patients.