Analysis of death cases of hospitalized patients with malignant tumor in a Grade-A tertiary general hospital in the context of DRGs
YANG Song
ZONG Liguo
TIAN Jie
MENG Li
Abstract：Objective To analyze the characteristics of malignant tumor deaths in a Grade-A tertiary general hospi-tal in Shandong Province under the background of disease diagnosis-related groups(DRGs),so as to provide a basis for tu-mor prevention,rational allocation of medical resources and hospital management.Methods With the help of the hospi-tal medical record management system,the medical record data of hospitalized malignant tumor death cases from 2019 to 2023 in a Grade-A tertiary general hospital in Shandong Province were obtained.From January 1,2019 to December 31,2023,a total of 14,601 malignant tumor patients were hospitalized in the hospital,and 1,233(8.44%)died.Data on age,sex,discharge diagnosis,hospitalization time,hospitalization cost,and discharge transfer of deaths were collected,and the distribution of deaths was summarized and analyzed.Results The proportion of deaths in all hospitalized malig-nancy patients from 2019 to 2023 increased.Among the annual deaths,the proportion of men was higher than that of wom-en(P<0.05);among all age groups,the proportion of death cases was higher in those over 40 years old,with the highest proportion observed in the 61-70 years old age group(all P<0.05).The top 10 dead tumors were lung cancer,liver can-cer,gastric cancer,esophageal cancer,pancreatic cancer,colon cancer,myeloid leukemia,rectal cancer,breast can-cer,bile duct and biliary tract cancer.From 2019 to 2023,the hospitalization time and hospitalization cost of hospitalized deaths of malignant tumors showed a decreasing trend year by year(both P<0.05).Conclusions From 2019 to 2023,the proportion of deaths of malignant tumors in the Grade-A tertiary general hospital increased,and the proportion of deaths in males was generally higher than that in females,with the highest proportion in the 61-70 years old age group,and common tumors were lung cancer,liver cancer,gastric cancer and esophageal cancer,etc.In the context of DRGs,the hospitalization time and hospitalization cost of deaths of malignant tumors decreased.
Keywords：malignant tumordiagnosis-related groupsanalysis of cause of death
Publication Date：2025-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 75-79 )