初发脑卒中老年患者生存状况及死亡的相关因素分析?

目的：描述初发脑卒中老年患者的生存状况，探讨其死亡的影响因素。方法选取2010年1月至2014年1月山东省东营市胜利医院收治的196例初发脑卒中老年患者，通过随访获得患者的生存状况，随访时间截至2014年7月30日，将因脑卒中死亡的患者归为死亡组，其余归为存活组。采用单因素比较和多因素 Logistic 回归分析患者死亡的影响因素。结果中位随访时间为41个月，其中有14例患者失访。发病28 d、1年、3年的生存率分别为73.47%、66.81%、58.89%。年龄、并发症、格拉斯哥评分、NIHSS 评分及血液白细胞计数是导致患者死亡的独立影响因素(P <0.05)。结论初发脑卒中老年患者的死亡多集中于发病28 d 内，高龄、有并发症、格拉斯哥评分降低、NIHSS 评分增高及血液白细胞计数增多的患者死亡风险增加。

Survival status and analysis of related factors of mortality among elderly patients with first-ever stroke

Objective To describe the survival status and to analyze the related factors of mortality among elderly patients with first-ever stroke.Methods Totally 1 96 elderly patients with first-ever stroke from January 2010 to January 2014 were enroll for the study.The survival status of all cases was attained through follow-up,and the deadline of follow-up was July 30,2014.The deceased patients because of stroke were divided into death group while the others were divided into survival group.Univariate com-parison and multivariate Logistic regression analysis were performed to screen out the related factors of death.Results The median follow-up time was 41 months,and 14 cases were lost to follow-up.The survival rate 28 d,1 year and 3 years after the onset were 73.47%,66.81% and 58.89%.Age,complication,Glasgow score,NIHSS score and blood WBC were the independent influence fac-tors of death (P <0.05).Conclusion The death among elderly patients with first-ever stroke are more concentrated in 28 d after the onset.Advanced age,complications,decrease of Glasgow score,increase of NIHSS score and blood WBC could increase the death risk.