老年病患入院後三個月內死亡因子之研究與次族群分析：一南部醫學中心回溯性世代研究

Study of Risk Factors Associated with 3-month Mortality in Hospitalized Elderly Patients and Subgroup Analysis: a Retrospective Cohort Study in a Southern Medical Center

程信翰(Hsin-Han Cheng) ； 蔡岡廷(Kang-Ting Tsai)

《台灣老年醫學暨老年學會雜誌》 16卷4期 (2021/11) Pp. 305-313

https://doi.org/10.29461/TGGa.202111_16(4).0004

摘要

老年人因為身體功能的衰退，除了易受疾病的侵擾之外，某些原因的死亡率也較高。過去研究更發現，老年族群若細分成青老年、中老年及老老年次族群，老老年人死亡率更高，顯示老年人及其次族群有不同的特質。因此，本研究目標在研究一南部醫學中心病患入院時的身體情況，是否與三個月後死亡狀況相關。並預測次族群的死亡狀況。本研究共收案分析466人，紀錄入院時的性別、年齡、入院時的血液肌酸酐值、巴氏量表分數及共病狀況。並追蹤個案三個月後的存活情形。結果顯示入院時的巴氏量表分數、血液肌酸酐值、癌症及褥瘡的有無，能有效預測老年患者入院三個月後的死亡狀況。另外，隨著年紀越大，預測死亡的能力有下降的趨勢，在女性老老年族群最差。

關鍵字

老年醫學 ； 死亡 ； 預後 ； 巴氏量表

並列摘要

Elders are susceptible to diseases possibly due to physical and functional decline. In addition, if elders were categorized into three groups, young-old, old-old and oldest-old, previous studies had shown mortality is highest in the last category, implicating there are unique characteristics in elders and their subgroups. Therefore, our study aimed to study the prognostic factors of 3-month mortality in the hospitalized elders admitted to a medical center in southern Taiwan. 466 participants were included in our study, and their sex, age, serum creatinine, barthel index and comorbidity were recorded during admission. Thereafter, survival conditions were followed after 3 months. The results showed barthel index, serum creatinine, cancer and pressure sore were significant prognostic factors of 3-month mortality after admission. Furthermore, the capability of the prognostic model trended down when age increased and bottomed in the female oldest-old.

並列關鍵字

geriatrics ； mortality ； prognosis ； barthel index