| 朱莹,余云华,张冬梅.243例老年住院患者死亡病例分析[J].实用中西医结合临床,2020,20(18): |
| 243例老年住院患者死亡病例分析 |
| Analysis of 243 Hospitalized Elderly Death Cases |
| 投稿时间：2020-10-09 修订日期：2020-10-16 |
| DOI： |
| 中文关键词: ［］ 老年 住院患者 死亡分析 |
| 英文关键词: Elderly Inpatient Death analysis |
| 基金项目: |
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| 中文摘要: |
| ［］ 目的 通过对老年住院患者死亡病例的分析,为老年医疗保健工作及健康老龄化提供一定的理论依据。方法 回顾性分析2011年9月-2019年8月联勤保障部队第900医院干部病房住院老年死亡患者临床资料243例。结果 老年住院患者平均死亡年龄(89.00±5.63)岁。死亡原因前三位系统疾病依次为恶性肿瘤、呼吸系统疾病、循环系统疾病。肿瘤、呼吸系统疾病分别是＜90岁和≥90岁患者死亡的首位原因。肺部感染是非肿瘤死亡患者首要死亡原因,肺癌是肿瘤死亡患者首要死亡原因。发生老年多器官功能障碍综合征(MODSE)者占死亡总数的74.5%,合并感染的患者发生MODSE的比例高于无合并感染的患者。结论 肿瘤、呼吸和循环系统疾病是老年住院患者死亡的三大系统疾病,加强肿瘤早期筛查,预防院内感染及MODSE是医疗保健工作的重要内容。 |
| 英文摘要: |
| Objective To analyze the death cases of hospitalized elderly in our hospital"s cadre wards in recent 9 years so as to provide theoretic basis for health care. Methods We analysed the clinical data of 243 hospitalized elderly death cases during the period from Sept.,2011 to Aug., 2019 with a retrospective analysis. The death age, chronic underlying diseases, systematic diseases in death cause, the diseases causing death and complications were statistically analysis. Results The average death age of hospitalized elderly was 89.00 years. 213 cases were associated with three or more chronic underlying diseases, accounting for 87.7%. The most common chronic underlying disease was coronary heart disease. The top three causes of death were cancer (n=95,39.1%), respiratory disease (n=80,32.9%)and cardiovascular diseases (n=54,22.2%). Cancer and respiratory disease were the leading causes of death for the patients younger than 90 and those over 90 years old. Lung infection was the leading cause in non-cancer deaths. Lung cancer was the leading cause of death in cancer deaths. Patients occurred with MODES were 181 cases, accounting for 74.5％ of total deaths. The incidence of MODES in patients with infection was higher than that in patients without infection (χ2=14.350,P ＜0.05). Conclusions Cancer, respiratory disease and cardiovascular diseases are the common death causes in the hospitalized elderly. Strengthening the early cancer screening, preventing nosocomial infection and MODSE are important contents of health care. |
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