论文部分内容阅读
目的通过对北京市某综合性三级甲等医院1998～2002年急性心肌梗死诊疗情况的分析,评估该院医师诊治量和专业性对急性心肌梗死住院死亡率的影响。方法选择1998～2002年出院第一诊断为急性心肌梗死的入选病人,对其病案首页资料进行分析,依医师诊治量多少和专业性不同分别比较其对急性心肌梗死住院死亡率的影响。结果五年入选病人2009例,其住院死亡率为5.5%。高医师诊治量组病人住院死亡率4.9%(79/1606)比低医师诊治量组病人住院死亡率7.7%(31/403)低(P<0.05)。心脏科医师组与非心脏科医师组相比具有较低的住院死亡率,在年龄≤65岁组分别为1.8%(18/999)、7.0%(6/86)(P<0.01),在年龄>65岁组分别为8.1%(66/811)、17.7%(20/113)(P<0.01)。结论经高诊治量和心脏科专业医师处理的急性心肌梗死病人具有较高的生存概率。
Objective To analyze the diagnosis and treatment of acute myocardial infarction in a comprehensive tertiary first-class hospital in Beijing from 1998 to 2002 to evaluate the impact of physician diagnosis, treatment and hospitalization on in-hospital mortality rate of acute myocardial infarction. Methods The patients who were discharged from hospital for the first time from 1998 to 2002 were selected as the patients with AMI. The data of the first page of their medical records were analyzed. The influence of hospitalization on the in-hospital mortality rate of acute myocardial infarction was compared according to the physician’s diagnosis and treatment. Results Five-year-old patients were enrolled in 2009 with an in-hospital mortality rate of 5.5%. In-hospital mortality was 4.9% (79/1606) in the high-physician diagnosis and treatment group and 7.7% (31/403) in the low-physician diagnosis and treatment group (P <0.05). The cardiologist group had a lower in-hospital mortality rate compared with the non-cardiologist group, with 1.8% (18/999) and 7.0% (6/86), respectively, in patients ≤65 years of age (P <0.01) The patients aged> 65 years old were 8.1% (66/811) and 17.7% (20/113) respectively (P <0.01). Conclusions Patients with acute myocardial infarction treated by high-caliber patients and cardiologists have higher survival probability.