百岁老人住院病因和转归情况的分析

Clinical analysis of hospitalized centenarian

目的分析百岁老人住院病因及转归。方法回顾性分析1998年1月1日～2007年12月31日在解放军总医院住院的年龄≥100岁的患者。结果10年间共有17例患者住院治疗26次。前3位住院病因分别为肺部感染、心血管疾病及股骨骨折,伴随慢性基础疾病数为4.76±2.44。76.47%患者存在低蛋白血症,70.58%伴有心律失常。8例患者死亡,主要死亡原因为肺部感染（75.00%）。结论肺部感染是引起百岁老人住院及死亡的首位原因,营养不良是住院百岁老人转归的重要影响因素。

Objective To analysis the hospitalization situation and outcomes of centenarians. Methods Clinical records of centenarian in our hospital from 1998 to 2007 were retrospectively analyzed. Results The most frequent reason for admission is pulmonary infection, followed by cardiovascular disease and hip fracture. The mean numbers of predisposing diseases were 4.76±2.44,with the most frequent diagnoses were hypoalbuminemia（76.47%）and arrhythmia （70.58%）. Eight patients died in hospital. The main death cause was pulmonary infection （75%）. Conclusions Pulmonary infection was the first cause of hospitalization and death in centenarians. Malnutrition was a common health problem in hospitalized centenarians.