在急性医疗住院后的短期和长期死亡率
R Conway1, D Byrne1, D O'Riordan1
1Department of Internal Medicine, St James's Hospital, Dublin 8, Ireland.
QJM : monthly journal of the Association of Physicians
|August 1, 2023
概括
这项研究分析了急性医疗住院后的死亡率,发现年龄,疾病严重程度和并发症预测短期和长期死亡. 患者在入院后平均失去了8年的生命.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 经过急性医疗住院后的短期死亡率得到了充分研究.
- 长期和非医院死亡率仍然不太了解.
研究的目的:
- 评估急性医疗住院后的短期和长期死亡率.
- 为了确定急性医疗入院后死亡率的预测因素.
主要方法:
- 对2002-2011年急性医疗住院的回顾性数据库研究.
- 利用爱尔兰国家死亡登记册超过10年的随访数据.
- 使用后勤和考克斯回归分析了30天和长期死亡率的预测因素.
主要成果:
- 该队列包括62,184名入院者,35140名患者.
- 30天死亡率为每名患者10.4%,每次入院为5.9%.
- 到2021年,总死亡率达到42.9%,入院后的中位生存时间为195个月,代表了8年的生命损失.
- 年龄,急性疾病严重程度得分和并发症得分预测了长期死亡率.
结论:
- 影响短期和长期死亡率的因素相似.
- 这些预测因素的影响随着时间的推移而减少.
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