老年慢性心力衰竭患者再住院死亡的多因素分析  

Cox regression analysis of factors for rehospitalization death of senile patients with chronic heart failure

作　　者：刘京铭[1] 

机构地区：[1]清华大学玉泉医院急诊/ICU,北京100049

出　　处：《心脏杂志》2010年第1期120-122,共3页Chinese Heart Journal

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。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.

关 键 词：老年 心力衰竭 慢性 再住院 死亡 回归分析 

分 类 号：R541.6[医药卫生—心血管疾病]