2007至2009年北京市25岁以上居民急性冠心病事件院前死亡特征分析

Characteristics of out-of-hospital acute coronary heart disease deaths of Beijing permanent residents at the age of 25 or more from 2007 to 2009

目的探讨2007至2009年北京市25岁以上居民急性冠心病事件院前死亡的特征。方法利用北京市死因登记报告信息系统中的死亡资料，从性别、年龄、地区分布、职业、婚姻状况以及不同文化程度方面分析2007至2009年北京市25岁以上居民急性冠心病事件院前死亡的特征。结果2007至2009年25岁以上北京市急性冠心病事件死亡患者共有41732例，其中院前死亡30159例，占总死亡的72．27％（30159／41732），是院内死亡的2．61倍。男性、25～34岁、远郊、农民、未婚和文盲或半文盲急性冠心病事件死亡患者的院前死亡比例分别为72．30％（16068／22224）、91．75％（89／97）、82．43％（13513／16393）、89．50％（10017／11192）、80．76％（592／733）和83．95％（11388／13565）。在院前死亡的患者中，家中死亡者占的比例最高，为78．80％（23765／30159）。结论2007至2009年北京市25岁以上居民急性冠心病事件死亡以院前死亡为主，男性、25～34岁、远郊、农民、未婚和文盲或半文盲居民发生院前死亡的比例较高，而家中是院前死亡的主要地点。

Objective To analyze the characteristics of out-of-hospital acute coronary heart disease （CHD） deaths in Beijing permanent residents at the age of 25 or more from 2007 to 2009. Methods We analyzed the gender, age, geographical distribution, occupation, marital status and the extent of different education characteristics of out-of-hospital acute CHD deaths of the Beijing permanent residents at the age of 25 or more from 2007 to 2009 using the mortality information database from the Beijing Vital Registration Monitoring System. Results Of the total 41 732 acute CHD deaths, 30 159 （72. 27% ） died out of hospital and out-of-hospital mortality was 2. 61 times higher than in-hospital mortality. Majority out-of-hospital death occurred in males （72. 30%, 16 068/22 224）, in 25- 34 years old people （ 91.75%, 89/97）, in residents living in remoter suburbs and counties （82.43%, 13 513/16 393 ）, in rural population （89.50%, 10 017/11 192）, in non-marital single （80. 76%, 592/733 ） and in people less than five-years of schooling （83.95%, 11 388/13 565）. Most out-of-hospital acute CHD death occurred at home （78.80%, 23 765/30 159）. Conclusions Out-of hospital acute CHD mortality is high in Beijing permanent residents at the age of 25 and over from 2007 to 2009. Male, 25 - 34 years old, living in outer suburbs and counties, rural population, non-marital single, and less education years are major risk factors for out-of-hospital acute CHD death.