摘要
目的:回顾新开重症监护病房(ICU)死亡病例的年龄、性别构成、死亡原因构成及病死率等情况,为今后提高我院ICU的收治水平提供参考依据。方法:记录患者一般资料、死亡原因、治疗以及转归等情况,采用回顾性方法进行分析。结果:2年来总体死亡病例83例,中位年龄71.0[62.0～81.0]岁,主要分布于60～79岁年龄组。男∶女=1.96∶1。急性生理和慢性健康评分Ⅱ(APACHE II)评分中位数32.0[27.0,38.0]。死亡原因排前三位的是心脑血管病32例(38.6%),呼吸系统疾病17例(20.5%),多器官功能不全16例(19.3%)。总的住院病死率为22.4%。老年前期组、老年组、高龄组住院病死率分别为15.0%,23.9%,31.1%,随年龄有逐渐增加的趋势(χ2=7.14,P<0.01)。急诊转入组、会诊转入组、术后转入组病死率分别为48.1%,33.1%,5.3%,急诊转入组病例病死率最高(χ2=58.04,P<0.01)。结论:我院新开综合ICU死亡病例以老年组人群分布最多,以男性多见,死亡原因以心脑血管病、呼吸系统疾病、多器官功能不全为主。加强老年患者心脑血管疾病、严重感染和多器官功能不全的防治是我院ICU未来降低病死率应该重点主抓的环节。
Objective： To review the proportion of age, gender, causes of death, and in - hospital mortality of death cases in our new - open general ICU. Methods： All cases admitted in our new - open department in late 2 years （ from October 2008 to October 2010） were selected. The general data, admission reasons, therapy state and prognosis information were recorded. A retrospective analysis was performed. Results： 83 cases were dead. The median age was 71.0 [ 62. 0 - 81.0 ] years old. And the main distribution of age was group 60 - 79 years old. The ratio of male to female was 1.96： 1. The median score of acute pathologic and chronic health evaluation II was 32. 0[27.0,38.0 ]. Among the cau- ses of death, the three main proportion ratio in order in turn was 38.6% （eardio -cerebrovaseular disease）, 20. 5% （respiratory diseases）, 19.3% （ muhiple organ dysfunction）. The total in - hospital mortality was 22.4%. The in - hospital mortality among presenile group, senile group and very old age group was 15. 0%, 23. 9%, 31.1%, respective- ly, which showed increased tendency as their age （x^2 = 7.14 ,P 〈0.01 ）. The inhospital mortality among group trans- ferred from emergency, group transferred from consultation, group transferred from post - operation was 48. 1%, 33.1% , 5.3% , respectively （x^2 = 58.04,P 〈 0.01 ）. Conclusions：Advancement in prevention and therapy of eardio- cerebrovascular disease, severe infection and multiple organ dysfunction in senile patients should be strengthened to decrease the in -hospital mortality in future days.
出处
《航空航天医学杂志》
2011年第9期1052-1053,1055,共3页
Journal of Aerospace medicine
关键词
重症监护病房
死亡原因
病死率
流行病学
Intensive care unit （ICU）
Cause of death
In - hospital mortality
Epidemiology
