The Spectrum Of Acute Critical Diseases-a Study Of A-level Tertiary Comprehensive Hosoitals In Hangzhou

Objective:This study aims to provide evidence for the improvement of acute care nursing in Hangzhou City. To achieve this, we analyzed the acute critical diseases at emergency departments in the A-level tertiary comprehensive hospitals in Hangzhou from June2011to May2012.Methods:A retrospective analysis was conducted in five A-level tertiary comprehensive hospitals in Hangzhou. A total of5250cases from these five hospitals meeting the criteria of critical disease were included. The data was entered into the Excel Software according to the date of admission, the time of admission, gender, age and primary diagnosis, which then were a analyzed. Tables and charts were presented.Results:(1) There were more male patients with critical diseases than female, and the ratio was1.38:1. Those aged between76～80years old came to see the doctors most, accounting for9.31%, while those aged11～15years old was the group with the lowest frequency (0.42%). In regards to the season, spring and summer had the highest frequency of acute critical disease visit, taking up26.53%of total amount respectively, which were followed by autumn (24.08%) and winter (22.86%). The peak time for visit within24hours was between21:00and22:00, accounting for6.99%, whereas the lowest period was between5:00and6:00, with a proportion of1.22%.(2) The top five types of critical diseases according to the human body system were trauma (1308,24.91%), nervous system (1157,22.04%), circulatory system (749,14.27%), respiratory system (626,11.92%) and poisoning (578,11.01%). Diseases in different systems were varied in terms of the age distribution, seasonal distribution and time distribution throughout the day.(3) Altogether there were46kinds of critical diseases, of which craniocerebral injury (755,14.38%) ranked first, drowning (4,0.08%) and open injury of abdomen (4,0.08%) both came last.Conclusions:This study illustrated the spectrum of critical diseases at emergency departments in the first-class tertiary comprehensive hospitals in Hangzhou from June2011to May2012. It also revealed the regularity of age distribution, seasonal distribution and time distribution throughout the day of the systemic diseases. The result of this study has some differences compared with the previous studies of spectrum of diseases in Hangzhou area, and the ranking of the systemic diseases has its internal characteristics while following the laws of critical diseases’ spectrum. The outcome of46critical diseases’ ranking can intuitively reflect the receptions of critically ill patients at the emergency departments of first-class ternary hospitals in Hangzhou, meanwhile it can provide references for rescuing critically ill patients and personnel allocation at the emergency departments of first-class ternary hospitals in Hangzhou.