44864例老年住院患者回顾性分析

A Retrospective Analysis of 44864 Elderly Hospitalized Patients

目的 通过对某院老年住院患者病历资料的分析,了解老年患者疾病构成,为老年疾病的预防和治疗提供参考依据.方法 回顾性分析某院44864例60岁以上住院患者的病历资料.结果 老年住院患者年龄多集中在60岁～69岁,平均住院日9.48天,病死率1.85％;疾病顺位前五位分别是循环系统疾病、影响健康状态和与保健机构接触的因素、肿瘤、呼吸系统疾病、消化系统疾病;死亡患者疾病顺位前五位分别为循环系统疾病,肿瘤,呼吸系统疾病,消化系统疾病,损伤、中毒和外因的某些其他后果.结论 积极防治威胁老年人健康的主要疾病,倡导健康的生活方式与习惯,建立合理完善的老年医疗保障制度,提高老年人的生存质量,以降低老年住院患者病死率.

Objective Through the analysis on medical records of elderly hospitalized patients in a hospital, to describe the disease constitution of elderly patients and to provide references for the prevention and treatment of geriatric disease. Method The medical records of 44864 hospitalized patients aged above 60 years old in a hospital were analyzed retrospectively. Results Most elderly hospitalized patients aged between 60 and 69 years old. The average length of stay was 9.48 days and the fatality rate was 1.85%. The top 5 of proportion of disease admitted among these patients were diseases of the circulatory system, factors influencing health status and contact with health services, neoplasms, diseases of the respiratory system, and diseases of the digestive system. The top 5 of death causes were diseases of the circulatory system, neoplasms, diseases of the respiratory system, and diseases of the digestive system, and Injury, poisoning and certain other consequences of external causes. Conclusion In order to reduce the fatality rate of elderly hospitalized patients and improve the life quality of the elderly, actively preventing and treating on the major geriatric disease, promoting healthy lifestyle and habits, and establishing reasonable and excellent heahhcare system would be of vital importance. Key words