摘要
目的回顾分析影响慢性心力衰竭(心力衰竭)住院患者30 d死亡率的危险因素。方法从住院病历数据库中检索出1993年1月1日至2007年12月31日出院的心力衰竭住院患者7 319例,分析影响心力衰竭患者30 d死亡率的危险因素。结果 Cox回归分析显示年龄、合并心肌梗死、肺炎、消化道出血、肝硬化、肺心病、脑血管病、肾功能衰竭是影响心力衰竭住院患者30 d死亡率独立的危险因素。结论多种疾病并存对于心力衰竭的预后具有独立的意义。
Objective To investigate the risk factors of 30-day hospitalized mortality in patients with chronic heart failure.Methods A retrospective study was performed in 7 319 patients admitted to Chinese PLA General Hospital from January 1,1993,to July 31,2007 with validated primary discharge diagnosis of chronic heart failure.We examined the risk factors for 30-day hospitalized mortality in patients with heart failure.Results Cox regression analysis showed that age,myocardial infarction,pneumonia,gastrointestinal bleeding,liver cirrhosis,cor pulmonale,cerebrovascular disease and renal failure were independent risk factors for 30-day hospitalized mortality in patients with heart failure.Conclusion It suggests that multiple diseases,remote causes and comorbidities may be significantly associated with the prognosis of patients with chronic heart failure.
出处
《中国临床保健杂志》
CAS
2013年第4期350-352,共3页
Chinese Journal of Clinical Healthcare
关键词
心力衰竭
充血性
医院死亡率
危险因素
Heart failure
congestive
Hospital mortality
Risk factors
