南京鼓楼医院2018年度老年住院患者死亡原因与死亡时间分析

Analysis of death causes and death time of elderly inpatients in Nanjing Drum Tower Hospital in 2018

目的探讨老年住院患者死亡原因及死亡时间分布规律,为老年健康问题提供防治依据。方法回顾性收集2018年1—12月南京鼓楼医院(以下简称“我院”)60岁以上老年住院死亡患者的一般资料,描述性统计死亡原因占比,用圆形统计分析法研究患者死亡时间在月、周及24 h分布规律。结果在386例老年死亡患者中,首位死亡原因为恶性肿瘤(138例,35.8%),其次为循环系统疾病(120例,31.1%)、呼吸系统疾病(69例,17.9%)。>80岁患者因肺部感染等呼吸系统疾病死亡的占比升高。使用圆形统计法分析发现,按月份分析,死亡高峰日期为7月31日;按周分析,周一死亡人数较多,但死亡时间高峰段在周五至周一;而在24 h内死亡高峰时间点为01:45,高峰时间段为23:00~04:28。结论恶性肿瘤是我院60岁以上老年住院患者首位死亡原因,而死亡高峰时间段发生在凌晨,在死亡高峰时间段加强治疗和护理,适时调整医疗措施,有助于降低老年住院患者死亡率。

Objective To discuss the cause of death and the distribution of death time in elderly hospitalized patients,and to provide basis for prevention and treatment of elderly health problems.Methods A retrospective collection of general data on hospitalized deaths of elderly patients over 60 years old in Nanjing Drum Tower Hospital(hereinafter referred to as“our hospital”)from January to December 2018,descriptive statistics accounted on the proportion of deaths,and circular statistical analysis was used to study the distribution of patients′death time in months,weeks and 24 hours.Results Among the 386 elderly patients who died,the first cause of death was malignant tumors(138 cases,35.8%),followed by circulatory system diseases(120 cases,31.1%),and respiratory system diseases(69 cases,17.9%).The proportion of deaths from respiratory diseases such as lung infections in patients more than 80 years old was higher.The circular statistics analysis was found that the death peak date was July 31st when analyzed by month;according to the weekly analysis,there were more deaths on Monday,however the peak period of death time was from Friday to Monday;and the peak death time point within 24 hours was 01:45,while the peak time period was 23:00 to 04:28.Conclusion Malignant tumors are the first cause of death for elderly inpatients over 60 years old in our hospital,and the peak death period occurs in the early morning.Strengthening treatment and care during the peak death period and timely adjustment of medical measures will help reduce the mortality rate of elderly inpatients.