2019-2021年某省级综合医院老年患者就诊特征分析. (Chinese)

Objective To analyze the characteristics of outpatient visits of elderly patients in the central region of China from 2019 to 2021. Methods The case data of 9 162 007 patients who had registration in the hospital information system of a provincial grade A tertiary general hospital in Anhui Province from January 1,2019 to December 31,2021 were retrospectively analyzed. The changes in the number of outpatient visits of elderly patients at different age levels, gender differences, medical departments, pre-epidemic period (January- December 2019), during the epidemic (January-December 2020) and epidemic normalization period (January- December 2021) were statistically analyzed. Results The proportion of the elderly in the outpatient population was high and presented a regularities distribution. From 2019 to 2021, the elderly patients aged 60 years and above accounted for 19. 54% (1 789 829/9 162 007) of the total number of outpatient visits, of which the elderly aged 60-69 years accounted for 50. 94% (911 668/1 789 829). With the increase of age, there was an obvious downward trend, which was 70-79 years old, 80-89 years old and 90 years old. The proportion of male patients showed an upward trend with the increase of age, while that of female patients was on the contrary, showing a gradual downward trend. The top six departments for elderly patients were cardiovascular department, endocrinology department, neurology department, ophthalmology department, general surgery department and gastroenterology department. With the increase of age, the proportion of ophthalmology and urology department was increasing. The characteristics of outpatient visits of elderly patients before the epidemic, during the epidemic and under the epidemic normalization period were different. Except during the epidemic period in 2020, the outpatient visits in the other two years showed obvious quarterly trends. The number of visits in the second and fourth quarters was higher than that in the first and third quarters, and the difference was statistically significant (P<0.05). Conclusion The proportion of the elderly in the outpatient population is high, and there is a certain distribution pattern in age, department and season. The impact of the COVID-19 epidemic on the elderly patients' consultation was great, mainly reflected in a significant decrease in the number of visits and a less obvious seasonal pattern. In the context of the epidemic normalization and the development of the elderly friendly hospital, it is necessary to fully consider the characteristics of the elderly population and formulate scientific service measures to meet the outpatient needs of the elderly population. [ABSTRACT FROM AUTHOR]

目的 分析2019-2021年我国中部地区老年患者门诊就诊特征。方法 回顾性分析2019年 1月1日至2021年12月31日在安徽省某省级三级甲等综合医院的医院信息系统中有挂号登记的9162007 人次就诊患者的病例资料, 统计并分析不同年龄、性别、就诊科室, 以及新型冠状病毒感染疫情前(2019年1- 12月)、疫情期间(2020年 1-12 月)、疫情常态化(2021 年 1-12 月)老年患者门诊就诊人次的变化情况。 结果 门诊就诊人群中老年人比例较高, 并呈一定的分布规律。2019-2021年门诊大于或等于60岁老年患者 占总就诊人 次 的 19.54% (1789829/9162007), 就 诊 人 次 最 多 者 为 60~ <70 岁 老 年 患 者, 占 50.94% (911668/1789829), 随年龄增长呈明显下降趋势, 依次为70~<80岁、80~<90岁、≥90岁。男性患者比例 随年龄增长呈攀升趋势, 女性患者恰恰相反, 呈逐步下降趋势。老年患者前6位就诊科室依次为心血管内科、 内分泌科、神经内科、消化内科、普外科、眼科, 随年龄增长眼科、泌尿外科就诊人次比例不断增高。疫情前、疫 情期间、疫情常态化老年患者门诊就诊特点有所不同, 除疫情期间外, 均呈明显的季度趋势, 第2、4季度就诊人 次高于第1、3季度, 不同季度就诊人次比较, 差异有统计学意义(P<0.05)。结论 门诊就诊人群中老年患者 比例较高, 并在年龄、就诊科室、季节方面呈一定的分布规律, 新型冠状病毒感染疫情对老年患者就诊影响较 大, 主要体现在就诊人次明显下降, 季节规律不明显。在疫情常态化及老年友善医院开展背景下需充分考虑老 年人群就诊特征, 制定科学的服务举措, 满足老年人群门诊就诊需求。 [ABSTRACT FROM AUTHOR]

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