Epidemiological Analysis of Emergency Patients in Observation Room and Research on the Countermeasures_West China Medical Journal

Authors：

WANG Xiaomei , HU Weijian , WANG Jing , ZENG Li

Department of Emergency Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu, Sichuan 610072, P. R. China;

Corresponding author：

Keywords：

急诊; 观察室; 流行病学; 疗效

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目的　总结分析急诊观察室患者流行病学特点及临床疗效，为临床急诊治疗提供指导。方法　以2007年1月－2010年12月收治的247 312例急诊观察室患者为研究对象，按年龄、性别、地域分布、疾病种类、发病时间、好转率、收入院百分率、死亡率等因素进行流行病学分析。结果　各年度患者人数呈增加趋势，2010年减缓；城镇患者占91.5%；20～40岁患者占45.9%，40～60岁患者占27.2%，＞60岁占21.3%；疾病种类分布中呼吸系统占42.4%，心血管疾病患者数量呈升高趋势，以老年人为主，中毒患者呈下降趋势。全年6、7、8月份因发热、上呼吸道感染患者较多，总数增加明显，其次11、12、1月份因慢性支气管炎急发患者较多，总数也有升高趋势；白天工作时间患者数量占66.2%；平均每天就诊人次为169.4人次，节假双休日平均每天就诊人次为191.1人次（P＜0.01）；各年度好转率呈升高趋势，收入院百分率无显著变化，死亡率无显著区别。结论　近年急诊观察室患者以呼吸系统疾病为主，好转率呈升高趋势，但心血管疾病数量呈升高且有年轻化趋势，值得重视。

Citation： WANG Xiaomei,HU Weijian,WANG Jing,ZENG Li. Epidemiological Analysis of Emergency Patients in Observation Room and Research on the Countermeasures. West China Medical Journal, 2012, 27(3): 335-338. doi: Copy

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1. 　王淑兰, 鲁云鹤. 分析急诊观察室病人特点强化急诊特色管理[J]. 中国医院管理, 2008, 28(3): 51-52.
2. 　江晓琼. 急诊观察患者1962例临床分析[J]. 实用医院临床杂志, 2006, 3(5): 84.
3. 　Chan EY, Hung KK, Yue C. An epidemiological study of technological disasters in China: 1979-2005[J]. Eur J Emerg Med, 2011, 18(4): 234-237.
4. 　琚沙, 唐洁. 1006例院前急救患者流行病学分析[J]. 四川医学, 2008, 29(6): 694-696.
5. 　Kelly DM, Frick EM, Hale LS. How the medication review can help to reduce risk of falls in older patients[J]. JAAPA, 2011, 24(4): 30-34, 55.
6. 　Kok RM, Heeren TJ, Nolen WA. Continuing treatment of depression in the elderly: a systematic review and meta-analysis of double-blinded randomized controlled trials with antidepressants[J]. Am J Geriatr Psychiatry, 2011, 19(3): 249-255.
7. 　Schneider WV, Bulloch B, Wilkinson M, et al. Utility of portable spirometry in a pediatric emergency department in children with acute exacerbation of asthma[J]. J Asthma, 2011, 48(3): 248-252.
8. 　陈永惠, 李文, 谢菁, 等. 28826例急诊病谱的分析[J]. 安徽医科大学学报, 1998, 33(2): 152-153.
9. 　Bunch TJ, Weiss JP, Crandall BG, et al. Atrial fibrillation is independently associated with senile, vascular, and Alzheimer’s dementia[J]. Heart Rhythm, 2010, 7(4): 433-437.
10. 　张荣芝, 徐红颖. 基层医院急诊抢救2756例流行病学分析[J]. 华西医学, 2010, 25(1): 193-194.
11. 　Gul A, Rahman MA, Salim A, et al. Advanced glycation end-products in senile diabetic and non-diabetic patients with cardiovascular complications[J]. Age (Dordr). 2008, 30(4): 303-309.
12. 　De Winter S, Vanbrabant P, Spriet I, et al. A simple tool to improve medication reconciliation at the emergency department[J]. Eur J Intern Med, 2011, 22(4): 382-385.
13. 　杨春旭, 丁爱国, 阮海林, 等. 综合性医院急诊患者疾病谱调查研究[J]. 广西医科大学学报, 2006, 23(3): 499-502.

West China Medical Journal

Epidemiological Analysis of Emergency Patients in Observation Room and Research on the Countermeasures

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