摘要
目的探讨红细胞分布宽度(RDW)与老年住院患者发生全因死亡的相关性。方法回顾性分析2018年1—12月于北部战区总医院住院的6533例年龄≥70岁患者的临床资料。按临床转归出院或死亡将患者分为出院组(n=6246)与死亡组(n=287)。比较两组患者的一般资料。相关性分析采用Logistic多元回归分析。结果死亡组患者年龄、查尔森指数、营养风险(NRS2002)评分、RDW、淋巴细胞计数、白蛋白、超敏C反应蛋白、RDW分区与出院组比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果提示,年龄、查尔森指数、NRS2002评分、RDW、白蛋白是老年住院患者发生全因死亡的独立危险因素(P<0.05)。结论RDW与老年住院患者发生院内全因死亡独立相关,可以用于指导临床实践。
Objective To evaluate the association of red blood cell distribution width(RDW)and a risk of all-cause mortality in hospitalized elderly patients.Methods A retrospective study was performed on 6533 cases of 70 years or older,who hospitalized in General Hospital of Northern Theater Command from January to December 2018.Patients were divided into discharge group(n=6246)and death group(n=287)according to clinical outcome,discharge or death.The general data of the two groups were compared.Logistic multiple regression was used to determine the independent predictors of in-hospital mortality.Results There were statistically significant differences in age,Charson index,nutritional risk(NRS2002)score,RDW,lymphocyte count,albumin,hypersensitive C-reactive protein,RDW zoning between the death group and the discharge group(P<0.05).Multivariate Logistic regression analysis showed that age,Charleson index,NRS2002 score,RDW and albumin were independent risk factors for all-cause death in elderly inpatients(P<0.05).Conclusion RDW is independently associated with the occurrence of nosocomial all-cause deaths in elderly inpatients and can be used to guide clinical practice.
作者
边瓯
马宁
张双鹤
胡婉申
徐旭
王伟
BIAN Ou;MA Ning;ZHANG Shuang-he;HU Wan-shen;XU Xu;WANG Wei(First Department of Cardre's Ward,General Hospital of Nortliern Theater Command,Shenyang 110016,China;Quality Management Department of Cardre's Ward,General Hospital of Nortliern Theater Command,Shenyang 110016,China;Department of Cardre's Ward,General Hospital of Southern Theater Command,Guangzhou 510010,China)
出处
《临床军医杂志》
CAS
2021年第4期395-397,共3页
Clinical Journal of Medical Officers
基金
辽宁省重点研发计划指导项目(2019JH8/10300086)。
关键词
红细胞分布宽度
住院治疗
老年患者
全因死亡
Red blood cell distribution width
Hospitalization
Elderly patients
All-cause mortality
