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Comparative analysis of the disease spectrum of elderly emergency patients in a hospital from 2018 to 2020 compared with the same period ten years ago |
LIU Jun1 SUN Ying1 YANG Xue1 MI Weidong2 |
1.Department of Emergency, People′s Liberation Army General Hospital Second Medical Center, Beijing 100853, China;
2.Center of Anesthesia and Operation, People′s Liberation Army General Hospital First Medical Center, Beijing 100853, China |
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Abstract Objective To analyze the change trend of the disease spectrum of emergency elderly patients in the Second Medical Center of the People′s Liberation Army General Hospital (“our hospital” for short) from 2018 to 2020 and the disease spectrum ten years ago, and to provide references for improving first-aid work and to improve first-aid level. Methods A total of 5256 patients over 60 years old admitted to Department of Emergency in our hospital from January 2018 to March 2020 were selected as the observation group. Patients aged 60 to less than 80 years old were ordinary elderly patients, and older patients aged ≥80 years old. According to the diagnosis results of the disease, elderly patients admitted to the Department of Emergency in our hospital at present (observation group) and ten years ago (control group, 4062 cases) were classified and described, and the trend of disease spectrum of emergency elderly patients were compared retrospectively. Results The composition of circulatory diseases in the observation group was higher than that in the control group, while the composition of diseases in the respiratory and digestive systems was lower than that in the control group, and the differences were statistically significant (P < 0.05). The composition of urinary tract infection and atrial fibrillation were higher than those of the control group, while the composition of upper respiratory tract infection and acute gastroenteritis were lower than those of the control group, and the differences were statistically significant (P < 0.05). Except for the included diseases, the other diseases of observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05). The urinary and other system diseases in the observation group were higher than those in the control group, while the respiratory and digestive system diseases were lower than in the control group, and the differences were statistically significant (P < 0.05). The composition of circulatory diseases in the observation group was higher than that in the control group, while the composition of digestive and other system diseases were lower than those in the control group, and the differences were statistically significant (P < 0.05). The composition of coronary heart disease in the observation group ranked first and was higher than that of the control group. The composition of transient ischemic attack, upper respiratory tract infection, and acute gastroenteritis were lower than those of the control group, and the differences were statistically significant (P < 0.05). The composition of urinary tract infection and atrial fibrillation in the observation group were significantly higher than those in the control group, and the differences were statistically significant (P < 0.05). Conclusion Compared with ten years ago, chronic diseases of elderly patients in emergency department are on the rise, and circulatory system diseases have become the most common diseases. According to the characteristics of the disease spectrum, emergency department workers optimize the treatment process, strengthen the training of circulatory, respiratory, urinary, trauma and other specialized emergency diseases, and provide health education and targeted preventive measures for elderly patients.
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