中老年患者急诊抢救的死亡危险因素分析

Risk factors for death in emergency treatment for middle-aged and elderly patients

目的探讨急诊抢救危重病患者的死亡危险因素情况及病死率。方法回顾性分析我中心网络医院ZOl6年1月至2017年12月期间收治并抢救的急诊危重病患者病例资料，分析其危重病患者一般资料、原发病及既往病史与病死率的相关性。结果共360例，其中男271例，女89例，均为急诊抢救患者，其中38例患者经急诊抢救无效死亡，病死率10．55％。65岁以下患者占283例，死亡8例，占2．83％；65岁以上患者占77例，死亡30例，占38．96％，65岁以上年龄段较65岁以下年龄段病死率高（χ^2=12．36，P〈0．05）。疾病分布规律中患者原发性疾病分布与呼吸、循环、消化、神经4个系统。结论急诊抢救危重病患者死亡因素与年龄有重要关系，其各系统原发病及既往病史患者病死率较高。

Objective To investigate the risk factors and mortality of critically ill patients in emergency care. Methods We retrospectively analyzed the data of critically ill patients admitted and treated at the emergency department of our hospital from January 2016 to December 2017. The correlation of mortality with general information, primary disease, and past medical history was analyzed. Results Of 360 patients receiving emergency care, 271 were male and 89 were female. Thirty-eight patients died during emergency treatment and the death rate was 10.55%. In the age groups, there were 8 deaths in 283 patients under 65 years old,accounting for 2.83 %;30 deaths in 77 patients over the age of 65, accounting for 38.96%. The mortality rate in the above 65 group was higher than that of the below 65 group（χ^2= 12.36 ,P〈0. 05）. Major primary diseases were located in the respiratory, circulatory, digestive, and nervous systems. Conclusions There is a notable correlation of mortality in critically ill patients with age, primary disease of a major system, and past medical history.