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|本期目录/Table of Contents|

老年慢性心力衰竭患者再住院死亡的多因素分析

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2010年第1期
页码:
120-122
栏目:
临床研究
出版日期:
2010-01-04

文章信息/Info

Title:
Cox regression analysis of factors for rehospitalization death of senile patients with chronic heart failure
作者:
刘京铭
清华大学玉泉医院急诊/ICU，北京 100049
Author(s):
LIU Jing-ming
Department of Emergency Medicine/ICU, Yu Quan Hospital, School of Medicine, Tsinghua University, Beijing 100049, China
关键词:
老年; 心力衰竭; 慢性; 再住院; 死亡; 回归分析
Keywords:
senile;  chronic heart failure;  rehospitalization;  death;  regression analysis
分类号:
R541.6
DOI:
-
文献标识码:
A
摘要:
目的: 分析老年慢性心力衰竭(CHF)患者再住院死亡病例的临床特点。方法: 对38例患者，累计住院104人次，老年CHF再住院患者16项临床指标单因素分析, 然后对有意义的因素用COX 回归模型进行多因素综合分析。结果: 经单因素分析：年龄、累计器官数、NYHA分级、血肌酐（Cr）、血糖、发病时间等对老年CHF再住院死亡有显著影响。再经COX 回归多因素综合分析结果显示年龄、累计器官数、Cr、血糖4项因素，对老年CHF再住院死亡有显著影响。结论: CHF患者的年龄、累计受累器官数、肾功能和血糖是影响老年CHF死亡的危险因素。
Abstract:
AIM: To explore the influential factors for rehospitalization death of senile patients with chronic heart failure. METHODS: Single factor analysis was conducted in 16 items among 38 patients (104 hospitalization episodes) with chronic heart failure. Cox regression model was employed to analyze the multi-factors influencing the rehospitalization death. RESULTS: Single factor analysis showed that age, number of diseased organs, NYHA level, Cr, blood glucose and onset time of CHF were influential factors for rehospitalization death of senile patients with chronic heart failure. COX regression analysis showed that age, number of diseased organs, Cr and blood glucose were the main influential factors for rehospitalization death. CONCLUSION: The main factors influencing the death of senile patients with CHF is the patient's age, number of diseased systems, renal function and blood glucose.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2009-1-4.作者简介：刘京铭，住院医师Email:liujingming1977@yahoo.com.cn
更新日期/Last Update: 2010-01-05