126例老年病病人住院死亡疾病分析

Analysis of death diseases in 126 inpatient cases of senile diseases

目的分析住我院老年病病人病死率和死因构成的特征。方法以2010年5月～2011年10月期间出院的老年病病人为对象,对每例死亡病例确定的死亡疾病和死亡原因进行分析。结果共126例老年死亡病人,年龄57～98岁,平均85.56岁。期间总出院1761例,其中,冠心病住院率73.94%(1302/1761),病死率5.22%(68/1302);高血压住院率63.20%(1113/1761),病死率5.12%(57/1113);脑卒中住院率54.34%(957/1761),病死率5.12%(49/957);肺部感染住院率34.70%(611/1761),病死率7.35%(45/611);慢性阻塞性肺病(COPD)住院率20.44%(360/1761),病死率10.28%(37/360);糖尿病住院率27.79%(477/1761),病死率6.29%(30/477);肿瘤住院率2.39%(42/1761),病死率38.10%(16/42);尿路感染住院率10.45%(184/1761),病死率4.35%(8/184);其他疾病132例。死亡原因前3位是心力衰竭、呼吸衰竭和多器官衰竭。住院病死率为7.16%。结论我院降低老年病人病死率的关键是控制感染,并需加强对COPD、冠心病和高血压等基础疾病的管理。

Objective To analyze the characteristics of case fatality and proportional mortality rate in patients with senile diseases in our hospital.Methods Patients with senile diseases discharged from May 2010 to October 2011 were selected as subjects.The death diseases and causes of death in each death case were analyzed.Results There were 126 senile death cases aged from 57 to 98 years old with the average of 85.56 years old.The total number of discharged patients were 1,761,in which the admission rate for coronary heart disease was 73.94%（1,302/1,761）and the case fatality was 5.22%（68/1,302）;that for hypertension was 63.20%（1,113/1,761）with the case fatality of 5.12%（57/1,113）;that for stroke was 54.34%（957/1,761）with the case fatality of 5.12%（49/957）;that for pulmonary infection was 34.70%（611/1,761）with the case fatality of 7.35%（45/611）;that for chronic obstructive pulmonary disease（COPD）was 20.44%（360/1,761）with the case fatality of 10.28%（37/360）;that for diabetes was 27.79%（477/1,761）with the case fatality of 6.29%（30/477）;that for cancer was 2.39%（42/1,761）with the case fatality of 38.10%（16/42）;that for urinary tract infection was 10.45%（184/1,761）with the case fatality of 4.35%（8/184）.There were also 132 cases of other diseases.The top three causes of death were heart failure,respiratory failure and multiple organ failure.The case fatality was 7.16%.Conclusion The key to decrease the case fatality in senile patients is controlling the infection and strengthening the management of basic diseases such as COPD,coronary heart disease and hypertension,etc.