Analysis of death cases of elderly inpatients in a hospital based on DRG
10.3969/j.issn.1671-332X.2025.08.032
- VernacularTitle:基于DRG的某地市级医院老年住院患者死亡病例分析
- Author:
Xuemei GAO
1
;
Xiaolin LIU
1
;
Xiaohua QIN
1
;
Gang ZHANG
1
Author Information
1. 济南市第四人民医院 山东 济南 250031
- Publication Type:Journal Article
- Keywords:
Diagnosis of disease related group;
The elderly;
Inpatient;
Causes of death
- From:
Modern Hospital
2025;25(8):1266-1269,1273
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the composition and distribution characteristics of death causes among elderly inpa-tients in a municipal hospital based on Diagnosis-Related Groups(DRG).This analysis aims to provide data support for the treat-ment and management of diseases in elderly patients and for the development of related disciplines,ultimately aiming to reduce the mortality rate of elderly patients.Methods A total of 1 811 death cases of elderly inpatients(aged≥60 years)were extrac-ted from the medical record management system and DRG operation analysis system of a prefecture-level tertiary hospital between January 1,2022,and December 31,2024.Information from the inpatient medical records'front page and DRG grouping data were matched.A retrospective analysis was conducted on 1,587 cases with hospitalization durations of 60 days orless included in DRG groups using Excel 2021.Results Elderly inpatients accounted for more than 80% of the total deaths.The deaths were mainly caused by three major categories:respiratory diseases and dysfunctions(35.03%),circulatory system diseases and dys-functions(25.27%),and nervous system diseases and dysfunctions(14.43%).The internal medicine treatment group had the highest number of deaths,followed by the surgical operation group,and then the non-operating room operation group.Among eld-erly deceased patients,83.68% had complications or comorbidities,with 85.47% having severe complications or comorbidities,mainly in patients aged 70 and above.Conclusion Elderly patients are the primary population group at risk of death.Based on the disease characteristics of elderly deceased patients in different age groups,hospitals should focus on strengthening the devel-opment of geriatrics departments,advance disciplinary technologies,and enhance patient satisfaction to provide comprehensive and personalized diagnosis and treatment,thereby supporting healthy aging.
