| 心力衰竭患者6 949例在院30 d病死率危险因素分析 |
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| 引用本文： | 尹巧香,赵玉生,侯晓平.心力衰竭患者6 949例在院30 d病死率危险因素分析[J].心脏杂志,2011,23(6):748-751. |
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| 作者姓名： | 尹巧香 赵玉生 侯晓平 |
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| 作者单位： | 1.空军总医院干部病房心内科，北京 100853；2.解放军总医院老年心血管病研究所，北京 100853 |
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| 摘 要： | 目的:虽然心力衰竭（心衰）的治疗有了很大的进步，但心衰住院患者的在院病死率仍然很高。本项研究主要是调查影响心衰住院患者30 d在院病死率的独立危险因素。方法: 选择1993年1月1日～2007年12月31日15年间心衰住院患者6 949 (男4 344，女2 605)例，用Cox风险模型统计心衰住院患者在院病死率的独立危险因素。结果: 对心衰住院患者在院病死率有显著影响的因素是:老龄 ［HR 1.030，95%CI (1.021-1.039) P=0.000］；疾病包括冠心病、肺心病、心肌梗死、肺炎、脑血管病、消化道出血和肝硬化（P=0.000）,心肌病(P=0.006)、瓣膜性心脏病(P=0.025)、慢性阻塞型肺病(P=0.032)。Kaplan-Meier生成曲线显示共患疾病数目越多，死亡概率越大(HR 1.04, 95%CI 0.74-1.47 到HR 2.88， 95%CI 2.19-3.80,P<0.01)；本研究时段(1998-2002 vs. 1993-1997,HR 0.71 95%CI 0.55-0.93,P<0.05)；(2003-2007 vs. 1993-1997,HR 0.59 95%CI 0.46-0.76,P<0.01)。结论: 老龄、并发疾病、时段是影响心衰住院患者30 d在院病死率的独立危险因素。
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| 关 键 词： | 心力衰竭 充血性 并发疾病 在院病死率 |
| 收稿时间： | 2011-02-22 |
Risk factors for 30-day mortality in hospitalized patients with congestive heart failure |
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| YIN Qiao-xiang,ZHAO Yu-sheng,HOU Xiao-ping.Risk factors for 30-day mortality in hospitalized patients with congestive heart failure[J].Chinese Heart Journal,2011,23(6):748-751. |
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| Authors: | YIN Qiao-xiang ZHAO Yu-sheng HOU Xiao-ping |
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| Affiliation: | YIN Qiao-xiang1,ZHAO Yu-sheng2,HOU Xiao-ping1(1.Department of Elderly Cardiology,General Hospital of Air Force,Beijing 100853,China,2.Institute of Geriatric Cardiology,PLA General Hospital,China) |
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| Abstract: | AIM: To explore the risk factors for 30-day in-hospital mortality in congestive heart failure(CHF) patients.METHODS: A retrospective study was performed in 6 949 patients(4 344 males,2 605 females) from January 1,1993 through December 31,2007.A Cox proportional hazards model was developed to identify the independent risk factors.RESULTS: Cox analysis showed that the independent risk factors for in-hospital mortality in CHF patients were older age(HR 1.030,95% CI 1.021-1.039,P=0.000) and comorbid diseases in... |
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| Keywords: | congestive heart failure comorbidity in-hospital mortality |
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