Disease spectrum of in emergency observation room of special hospital of cardiac diseases

LI Shi-hong; LI Xiao-ran; LI Zhi-zhong; ZHANG Li-xin; ZHANG Jing-mei; ZHU Xiao-ling; BAI Shu-gong

doi:10.3969/j.1674-4055.2014.03.11

Abstract：Objective To get to know the distribution characteristics and laws of diseases in the emergency observation room of special hospital of cardiac diseases. Methods The patients (n=13 200) were chosen as objects from the emergency observation room of Beijing Anzhen Hospital from Jan. 1, 2008 to Dec. 31, 2011. A retrospective survey was carried out according to age, sex, disease type, occurrence time and causes of heart failure (HF). Results The ratio of the patients with different diseases in 13 200 patients showed as follows:firstly the patients with diseases of cardiovascular system accounted for 66.81%, secondly those with diseases of nervous system, 9.28%, and thirdly those with diseases of respiratory system, 8.09%. In diseases of cardiovascular system, heart failure induced by different causes was at the top (68.73%), and female patients (53.65%) were more than male ones (46.35%). The proportion of basic heart diseases inducing HF was in a descent order as follows:coronary heart disease (38.30%), diabetes (17.91%), hypertension (11.97%), rheumatic heart disease (8.59%) and dilated cardiomyopathy (6.64%). The occurrence of diseases of different systems, especially that of diseases of cardiovascular system, presented obvious seasonal variation, and it was higher in spring and winter and lower in summer. Conclusion The diseases are mainly those of cardiovascular system in the emergency observation room of special hospital of cardiac diseases. The patients with HF are major group, so the heart failure wards should be set up for enhancing the management. The medical work and configuration can be arranged reasonably according to the seasonal characteristics of heart disease occurrence.