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：

急診; 觀察室; 流行病學; 療效

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目的　總結分析急診觀察室患者流行病學特點及臨床療效，為臨床急診治療提供指導。方法　以2007年1月－2010年12月收治的247 312例急診觀察室患者為研究對象，按年齡、性別、地域分布、疾病種類、發病時間、好轉率、收入院百分率、死亡率等因素進行流行病學分析。結果　各年度患者人數呈增加趨勢，2010年減緩；城鎮患者占91.5%；20～40歲患者占45.9%，40～60歲患者占27.2%，＞60歲占21.3%；疾病種類分布中呼吸系統占42.4%，心血管疾病患者數量呈升高趨勢，以老年人為主，中毒患者呈下降趨勢。全年6、7、8月份因發熱、上呼吸道感染患者較多，總數增加明顯，其次11、12、1月份因慢性支氣管炎急發患者較多，總數也有升高趨勢；白天工作時間患者數量占66.2%；平均每天就診人次為169.4人次，節假雙休日平均每天就診人次為191.1人次（P＜0.01）；各年度好轉率呈升高趨勢，收入院百分率無顯著變化，死亡率無顯著區別。結論　近年急診觀察室患者以呼吸系統疾病為主，好轉率呈升高趨勢，但心血管疾病數量呈升高且有年輕化趨勢，值得重視。

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. 　王淑蘭, 魯云鶴. 分析急診觀察室病人特點強化急診特色管理[J]. 中國醫院管理, 2008, 28(3): 51-52.
2. 　江曉瓊. 急診觀察患者1962例臨床分析[J]. 實用醫院臨床雜志, 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, 唐潔. 1006例院前急救患者流行病學分析[J]. 四川醫學, 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. 　陳永惠, 李文, 謝菁, 等. 28826例急診病譜的分析[J]. 安徽醫科大學學報, 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. 　張榮芝, 徐紅穎. 基層醫院急診搶救2756例流行病學分析[J]. 華西醫學, 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. 　楊春旭, 丁愛國, 阮海林, 等. 綜合性醫院急診患者疾病譜調查研究[J]. 廣西醫科大學學報, 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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