| 方向,丁西平,赵卫刚,李烨,黄毕林,胡世莲.住院百岁老人的临床特点及转归情况[J].中国临床保健杂志,2023,26(4):564-567. |
| 住院百岁老人的临床特点及转归情况 |
| Analysis of clinical characteristics and outcome of hospitalized centenarians |
| 投稿时间：2023-05-19 |
| DOI：10.3969/J.issn.1672-6790.2023.04.029 |
| 中文关键词: 百岁老人 住院病人 慢性病共病 体征和症状 死亡原因 |
| 英文关键词: Centenarians Inpatients Multiple chronic conditions Signs and symptoms Cause of death 〖FL |
| 基金项目:安徽省自然科学基金项目(1808085MH304)；安徽省中央引导地方发展专项科研项目(2019b12030026) |
|
| 摘要点击次数: 290 |
| 全文下载次数: 828 |
| 中文摘要: |
| 目的 分析住院百岁老人的主要诊断及共病、实验室指标、营养状况、转归情况。方法 回顾性分析中国科学技术大学附属第一医院(安徽省立医院)老年医学科住院百岁老人的一般情况、主要诊断及共病、实验室指标、营养状况、转归情况。结果 纳入21例住院百岁老人资料,年龄范围100~105岁,其中男性18例,女性3例。主要诊断中肺部疾病(28.6%)比例最高,其次是神经系统疾病(23.8%)；患病比例最高的急性疾病为感染性疾病(12例,57.1%),患病种比例最高的慢性疾病为高血压病(15例,71.4%)。21例住院百岁老人中有18例(85.7%)存在贫血,7例(33.3%)存在肝功能异常,3例(14.3%)肌酐升高,18例(85.7%)存在低蛋白血症,3例(14.3%)总胆固醇升高。营养风险筛查显示7例(33.3%)患者存在营养风险,控制营养状况评分显示15例(78.9%)患者存在营养不良。死亡主要原因为肺部感染(8例,72.7%)。结论 百岁老人住院普遍存在失能、多病共存及营养不良的特点,死亡病因主要为肺部感染。 |
| 英文摘要: |
| Objective To analyze the main diagnosis and comorbidities,laboratory indexes,nutritional status and outcomes of inpatients over 100 years old.Methods The general condition,main diagnosis and comorbidities,laboratory indexes,nutritional status and outcomes of centenarians and above in the Department of Geriatrics of the First Affiliated Hospital of University of Science and Technology of China (Anhui Provincial Hospital) were retrospectively analyzed.Results A total of 21 patients aged over 100 years and above were included,aged 100-105 years,including 18 males and 3 females.The proportion of pulmonary diseases (28.6%) was the highest,followed by neurological diseases (23.8%).The highest proportion of acute diseases was infectious diseases (12 cases,57.1%),and the highest proportion of chronic diseases was hypertension (15 cases,71.4%).Among the 21 inpatients aged 100 years and above,18 cases (85.7%) had anemia,7 cases (33.3%) had abnormal liver function,3 cases (14.3%) had creatinine increase,18 cases (85.7%) had hypoproteinemia,and 3 cases (14.3%) had total cholesterol increase.NRS2002 screening revealed nutritional risk in 7 cases (33.3%) and malnutrition in 15 cases (78.9%) according to CONUT score.The main cause of death was pulmonary infection (8 cases,72.7%).Conclusions Inpatients over 100 years old are generally incapacitated,co-existent diseases and malnutrition,and the main cause of death is pulmonary infection. |
|
查看全文
|
| 关闭 |
|
|
|