Analysis of inpatient disease composition characteristics in the gastroenterology department of a tertia-ry hospital in Huichang county(2019-2023)
10.3969/j.issn.1671-332X.2024.11.040
- VernacularTitle:2019-2023年会昌县某三级医院消化内科住院患者疾病构成特征分析
- Author:
Yu ZHOU
1
;
Jing CHEN
;
Lihua LAI
Author Information
1. 会昌县人民医院 江西会昌 342600
- Keywords:
Gastroenterology department;
Digestive system disease;
Inpatients;
Disease composition;
Characteristics
- From:
Modern Hospital
2024;24(11):1780-1785
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the disease compositions of the gastroenterology inpatients from 2019 to 2023 at a ter-tiary hospital in Huichang County to provide insights for digestive disease prevention and treatment.Methods A retrospective review was conducted on the records of hospitalized patients in the Department of Gastroenterology from January 1,2019,to De-cember 31,2023,using the medical records management information system of Huichang County People's Hospital.This analy-sis included disease type,gender,age,length of stay,and bed utilization.Results A total of 3,754 patients were discharged from the Department of Gastroenterology,including 734(19.55%)in 2019,749(19.95%)in 2020,823(21.92%)in 2021,665(17.71%)in 2022,and 783(20.86%)in 2023.The top three diseases diagnosed from 2019 to 2023 were gastritis and duodenitis(21.63%),liver fibrosis and cirrhosis(14.81%),and other digestive system diseases(9.80%).The inci-dence of gastritis and duodenitis,other digestive diseases declined from 2019 to 2023(J-T value=7.249,2.195,all P<0.05),while liver fibrosis and cirrhosis,other stomach and duodenum diseases,and peptic ulcers not specified in specific loca-tions showed an overall increasing trend from 2019 to 2023(J-T value=-3.863,-5.916,-4.394,all P<0.05).Overall,male patients accounted for a higher proportion(2135,56.87%),and the top three digestive diseases in male and female were consistent,including gastritis and duodenitis,liver fibrosis and cirrhosis,and other digestive diseases.Elderly patients ≥60 years were the major proportion(2133,56.82%).Gastritis and duodenitis were the most common diseases in patients of differ-ent ages,but patients ≥60 years old also showed a higher incidence of liver fibrosis and cirrhosis(17.53%).From 2019 to 2023,the hospitalization length of patients from the Department of gastroenterology decreased(J-T trend value=18.453,P<0.001).The utilization rate of bed increased from 2019 to 2023(J-T trend value=35.271,P<0.001).Conclusion From 2019 to 2023,the majority of gastroenterology inpatients in a tertiary hospital in Huichang County were diagnosed with gastritis and duodenitis,liver fibrosis and cirrhosis,and other digestive diseases,with some diseases showing changes in incidence rates.In terms of sex,male patients were predominant and in terms of age,were elderly patients,with an overall downward trend in hospital stay duration.The hospital can conduct targeted education and prevention based on the characteristics of disease composi-tion,allocate medical resources rationally,strengthen the prevention and control management of digestive system diseases,and reduce the medical burden.