An Epidemiological Study of Prehospital Cases during the Year of 2009 in Zigong Emergency Rescue Center_West China Medical Journal

Authors：

XU Ping , CAO Linghong , ZHANG Cheng

Emergency Department, Zigong NO.4 People′s Hospital, Zigong, Sichuan 643000, P. R. China;

Corresponding author：

Keywords：

院前急救; 疾病谱; 数据库; 资源配置

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【摘要】　目的　研究自贡市急救中心院前急救流行病学特征。　方法　回顾性分析2009年度自贡市急救中心出诊的院前急救数据，研究院前急救疾病谱及性别、年龄构成，并分析时刻及季节分布特点，描述院前急救转归。　结果　 2009年度自贡市急救中心院前急救共4 588例，排前6位疾病依次为损伤、中毒和外因的某些其他后果（45.6%），循环系统疾病（15.0%），呼吸系统疾病（6.3%），神经系统疾病（6.0%），精神和行为障碍（5.6%），消化系统疾病（4.9%）；性别构成男性多于女性（P lt;0.05）；年龄构成以中老年较多，青少年儿童较少（P lt;0.05）；时刻分布规律高峰点为15点40分（P lt;0.05），季节分布以冬季较多（P lt;0.05）；患者转归以住院、留院观察为主，院前死亡人数占比例为3.8%。　结论　根据院前急救流行病学规律，可以合理配置急诊资源，增强应急救援能力，满足民众不断增加的医疗需求。
【Abstract】　Objective　 To research on the epidemiological characteristics of the prehospital cases in Zigong emergency rescue center.　Methods　 We retrospectively analyzed the database of prehospital cases in Zigong emergency rescue center in 2009, and reviewed the prehospital disease spectrum, gender composition, age structure, the circadian and seasonal distribution, and the outcomes of these cases.　Results　 A total of 4 588 prehospital victims in Zigong emergency rescue center were enrolled. In the study, six leading diseases were injury, poisoning and certain other consequences due to external causes (45.6%), diseases of the circulatory system (15.0%), diseases of the respiratory system (6.3%), diseases of the nervous system (6.0%), mental and behavioral disorders (5.6%), and diseases of the digestive system (4.9%). Male patients were more than female patients (P lt;0.05). The proportion of the aged and the middle-aged was significantly larger than that of young population in the same districts (P lt;0.05), and the occurrence of prehospital care usually peaked at 15:40 (P lt;0.05). Prehospital care had a higher incidence in winter (P lt;0.05), and the outcome of prehospital cases was mainly in hospital and in observation ward. The proportion of deaths was 3.8%.　Conclusion　 We can allocate emergency resources reasonably in prehospital care, and promote the ability of rescuing in order to meet people′s medical demands on the basis of the epidemiological study in our city.

Citation： XU Ping,CAO Linghong,ZHANG Cheng. An Epidemiological Study of Prehospital Cases during the Year of 2009 in Zigong Emergency Rescue Center. West China Medical Journal, 2011, 26(11): 1649-1652. doi: Copy

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1. 　李金年. 我国院前急救事业的现状与展望[J]. 中国危重病急救医学, 2002, 12(5): 259-261.
2. 　Hughes C. ICD-9 Update 2011: Approaching the Change to ICD-10[J]. Fam Pract Manag, 2010, 17(5): 15-16.
3. 　徐平, 武涛, 曹灵红, 等. 院前急救电子病历的设计与试用[J]. 重庆医学, 2011, 40(17): 1759-1760.
4. 　车在前, 郭荣峰, 王东升, 等. 上海市2003-2007年道路交通伤院前急救流行病学调查[J]. 中国急救医学, 2010, 30(2): 174-176.
5. 　Li GN, Hoffman-Kim D. Evaluation of neurite outgrowth anisotropy using a novel application of circular analysis[J]. J Neurosci Methods, 2008, 174(2): 202-214.
6. 　Bjrkstén KS, Kripke DF, Bjerregaard P. Accentuation of suicides but not homicides with rising latitudes of Greenland in the sunny months[J]. BMC Psychiatry, 2009, 9(20): 1-10.
7. 　刘伟, 林汉生. SPSS在完全随机设计多个样本间多重比较Nemenyi秩和检验中的应用[J]. 中国卫生统计, 2009, 26(2): 214-216.
8. 　周凌, 廖晓星. 我院创伤院前急救研究现状和存在问题[J]. 中国急救医学, 2007, 27(12): 1146-1147.
9. 　曹灵红, 徐平, 邹永丽, 等. 院前急救4109例ICD-10疾病谱分析[J]. 华西医学, 2009, 24(10): 2677-2679.
10. 　郭荣峰, 车在前, 李警, 等. 上海市2007年院前急救患者流行病学调查[J]. 中华急诊医学杂志, 2008, 17(11): 1127-1130.
11. 　张玉梅, 刘桂花, 郑亚安. 急诊猝死患者尸检的特点及诊断对比分析[J]. 中华急诊医学杂志, 2010, 19(2): 185-189.
12. 　Wang H, Lei W, Li Y, et al. The epidemiology of non-traumatic prehospital sudden death in Macau[J]. Resuscitation, 2007, 74(2): 222-226.
13. 　Alpern ER, Stanley RM, Gorelick MH, et al. Epidemiology of a pediatric emergency medicine research network: the PECARN Core Data Project[J]. Pediatr Emerg Care, 2006, 22(10): 689-699.

West China Medical Journal

An Epidemiological Study of Prehospital Cases during the Year of 2009 in Zigong Emergency Rescue Center

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