老年住院病人死亡概况及心血管疾病分析

Death of hospitalized elderly patients with cardiovascular diseases

目的探讨我院老年患者死亡原因及主要心血管疾病。方法收集我院老年病区1976年-2011年死亡患者病例1 920例,对其进行致死原因分析。结果 1 920例平均死亡年龄(81.48±7.64)岁,<60岁占0.95%,60～70岁占4.94%,70～80岁占30.67%,>80岁占63.44%。其中男性占95.94%,女性占4.06%。肿瘤(705例)、心血管疾病(328例)、呼吸系统疾病(307例)为死亡原因前三位。冠心病(45%)、心源性猝死(33%)、心衰(12%)为心因死亡的主要原发疾病。结论我院老年病区死亡患者多为高龄老年人;肿瘤、心血管疾病、呼吸系统疾病为老年人主要死亡原因;冠心病、心源性猝死、心衰为心血管主要原发疾病。

Objective To analyze the causes of death in elderly patients with cardiovascular diseases admitted to our hospital. Methods Causes of death in 1 920 elderly patients admitted to our hospital from 1976 to 2011 were analyzed according to their medical records. Results The average age of the 1 920 elderly patients was （81.48 ± 7.64） years. The proportion of patients with their age 〈 60 years, being 60~70 years, being 70~80 years and 〉 80 years was 0.95%, 4.94%, 30.67% and 63.44%, respectively. The proportion of male and female patients was 95.94% and 4.06%, respectively. The top 3 causes of death were tumor（705 cases）, cardiovascular disease（328 cases） and respiratory disease（307 cases）. The primary diseases leading to death were coronary heart disease（45%）, sudden cardiac death（33%） and heart failure（12%）. Conclusion Death usually occurs in advance-aged patients with cardiovascular diseases in our hospital. The main causes of death are tumor, cardiovascular disease and respiratory disease. The primary diseases leading to death are coronary heart disease, sudden cardiac death and heart failure.