Abstract:Objective To explore correlated risk factors of prognosis death of the elderly with severe pneumonia, then to provide basis for diagnosis and treatment of severe pneumonia patients. Methods Data of 129 cases of the elderly with severe pneumonia were retrospectively collected, and according to prognosis condition of severe pneumonia, these cases were divided into survival group (95 cases) and death group (34 cases). Then single factor and multiple factors analysis methods were used to analyze the risk factors of severe pneumonia of the elderly. Results The death rate of severe pneumonia of the elderly was 26.4% (34/129). Multiple factors analysis result showed that the risk factors of severe pneumonia patients of the elderly included numbers of basic diseases (OR=2.259), numbers of injury of organs function (R=3.435), respiratory failure (OR=3.028), scores of APACHE II (OR=6.876), use time of respirator (OR=5.760) and acidosis (OR=2.835). Conclusion The death rate of severe pneumonia of the elderly lies in a high level. These risk factors such as more basic diseases, more injury of organs function, respiratory failure, higher scores of APACHE II, long-term use of respirator and acidosis are independent risk factors of severe pneumonia of the elderly.
潘杰锋,吕剑杰,方剑俊,胡坚峰. 老年重症肺炎预后死亡的相关危险因素调查分析[J]. 中国医院统计, 2016, 23(3): 180-182.
Pan Jiefeng, Lyu Jianjie, Fang Jianjun, Hu Jianfeng. Correlated risk factors investigation analysis on prognosis death of elderly patients with severe pneumonia. journal1, 2016, 23(3): 180-182.
[1] 徐传芹,郑玉龙,何远强,等.APACHE m评分及氧合指数对老年重症肺炎预后影响的分析[J].临床肺科杂,2012,17(1):41-42. [2] 齐玉琴,万文辉,张兴虎,等.老年人重症肺炎预后影响因素分析[J].中华保健医学杂志,2012,14(3):212-214. [3] 郭霞,喻昌利,安庆丽,等.老年重症肺炎患者病原学分布及预后危险因素分析[J].广东医学,2016,37(6):873-875. [4] 中华医学会呼吸病学分会.社区获得性肺炎诊断和治疗指南[J].中华结核和呼吸杂志, 2006,29(10):651-655. [5] 施佳民.影响老年重症肺炎患者疗效及预后的危险因素[J].中国老年学杂志, 2015,35(16):4591-4592. [6] 郝瑞瑞,姜春燕.老年重症肺炎并发多器官功能衰竭患者临床危险因素分析[J].临床和实验医学杂志,2013,12(23):1890-1892. [7] 朱湘芸,王洵,赵弘卿.老年重症肺炎患者病原菌耐药性及死亡相关因素分析[J].中华医院感染学杂志,2014,24(17):4250-4252. [8] 何佳澄,吴亚利.莫西沙星联合派拉西林他唑巴坦治疗重症肺炎的临床观察[J].临床和实验医学杂志,2012,11(14):289-290. [9] WITTE L, DROMANN D. Severe community-acquired and hospital-acquired pneumonia[J]. Med Klin Intensivmed Notfmed, 2012,107(2):151-158. [10]厉万良,杨玉波.老年重症肺炎合并急性呼吸衰竭后影响因素分析[J].临床肺科杂志,2010,15(10):1392-1393. [11]梁宏勇.老年人重症肺炎预后相关危险因素分析[J].吉林医学,2012,33(9):1843-1844. [12]YADAV R, PRASAD K, PADMA VM, et al. Influence of socioeconomic status on inhospital mortality and morbidity after stroke in India: retrospective hospital-based cohort study[J]. Indian J Community Med, 2013,38(1):39-41. [13]SOLOMON SB,WANG D,SUN J,et al. Mortality increases after massive exchange transfusion with older stored blood in canines with experimental pneumonia[J]. Blood, 2013,121(9):1663-1672. [14]WILCOX MH, FINCH R, WYNCOLL D, et al. Fluoroquinolones in the treatment of severe community-acquired[J]. Br J Hosp Med ( Lond), 2011,20(1):1-7. [15]师东武,杨毓莹.老年重症肺炎预后危险因素分析[J].山西职工医学院学报,2015,25(3):26-27. [16]NAVED SA, SIDDIGUI S, KHAN FH. APACHE-II score Correlation with Mortality and Length of Stay in an Intensive Care Unit[J]. Coll physicians Surg Pak, 2011,1(1):14-18. [17]何凤棣,戴春,宋贵芳,等.老年重症肺炎患者机械通气后短期预后的相关影响因素分析[J].现代生物医学进展,2013,13(31):6096-6122.