■关于蒙古院外死亡的比例和原因知之甚少。在这项研究中,我们的目的是确定在COVID-19大流行前6个月的观察期内蒙古院外死亡的比例和原因.
■在一项回顾性研究中,蒙古国家死亡登记处筛查了2020年01日至06日发生的所有死亡病例。院外死亡的比例和原因,院外死亡的原因可能通过紧急/重症护理干预措施治疗,以及性,确定了院外死亡的比例和原因的地区和季节差异.主要终点是儿童和成人院外死亡的比例和原因。描述性统计方法,费舍尔的确切,多行Chi2-或Mann-Whitney-U-秩和检验用于数据分析。
■7762例死亡中有五千五十三例(71.5%)发生在医院以外。儿童院外死亡的比例低于成人(39.3%vs.74.8%,p<0.001)。创伤,慢性神经系统疾病,下呼吸道感染,先天性出生缺陷,和新生儿疾病是院外死亡的原因,导致儿童失去大部分生命。在成年人中,慢性心脏病,创伤,肝癌,中毒,自我伤害造成了过早死亡的最高负担。院外死亡的比例在女性和男性之间没有差异(70.5%与72.2%,p=0.09)。比例(所有,p<0.001;成人,p<0.001;儿童,p<0.001)和原因(成人,p<0.001;儿童,蒙古地区和乌兰巴托的院外死亡人数p<0.001)不同。冬季院外死亡人数比例高于春季/夏季(72.3%vs.69.9%,p=0.03)。专家小组估计,49.3%的院外死亡可能可以通过紧急/重症监护干预措施来治疗。
■随着地区和季节的变化,大约75%的蒙古成年人和40%的蒙古儿童在医院外死亡。心脏病,创伤,癌症,中毒导致了大部分人的生命损失。大约一半的院外死亡原因可以通过紧急/重症监护干预措施来治疗。
■机构资助。
UNASSIGNED: Little is known about the
proportion and causes of out-of-hospital deaths in Mongolia. In this
study, we aimed to determine the
proportion and causes of out-of-hospital deaths in Mongolia during a six-month observation period before the COVID-19 pandemic.
UNASSIGNED: In a retrospective
study, the Mongolian National Death Registry was screened for all deaths occurring from 01 to 06/2020. The
proportion and causes of out-of-hospital deaths, causes of out-of-hospital deaths likely treatable by emergency/critical care interventions, as well as sex, regional and seasonal differences in the proportion and causes of out-of-hospital deaths were determined. The primary endpoint was the
proportion and causes of out-of-hospital death in children and adults. Descriptive statistical methods, the Fisher\'s Exact, multirow Chi2-or Mann-Whitney-U-rank sum tests were used for data analysis.
UNASSIGNED: Five-thousand-five-hundred-fifty-three of 7762 deaths (71.5%) occurred outside of a hospital. The proportion of out-of-hospital deaths was lower in children than adults (39.3% vs. 74.8%, p < 0.001). Trauma, chronic neurological diseases, lower respiratory tract infections, congenital birth defects, and neonatal disorders were the causes of out-of-hospital deaths resulting in most years of life lost in children. In adults, chronic heart diseases, trauma, liver cancer, poisonings, and self-harm caused the highest burden of premature mortality. The proportion of out-of-hospital deaths did not differ between females and males (70.5% vs. 72.2%, p = 0.09). The proportion (all, p < 0.001; adults, p < 0.001; children, p < 0.001) and causes (adults, p < 0.001; children, p < 0.001) of out-of-hospital deaths differed between Mongolian regions and Ulaanbaatar. The proportion of out-of-hospital deaths was higher during winter than spring/summer months (72.3% vs. 69.9%, p = 0.03). An expert panel estimated that 49.3% of out-of-hospital deaths were likely treatable by emergency/critical care interventions.
UNASSIGNED: With regional and seasonal variations, about 75% of Mongolian adults and 40% of Mongolian children died outside of a hospital. Heart diseases, trauma, cancer, and poisonings resulted in most years of life lost. About half of the causes of out-of-hospital deaths could be treated by emergency/critical care interventions.
UNASSIGNED: Institutional funding.