摘要
目的研究老年住院患者心血管代谢性共病分布及影响因素,为老年人慢性病共病防治和健康管理提供科学依据。方法以2023年1月1日—2023年12月31日珠海市某三甲医院的住院患者为研究对象,排除年龄小于65岁的病例,共纳入老年住院患者9091例。采用χ^(2)检验分析患1种、≥2种心血管代谢性疾病的影响因素,进一步应用非条件Logistic回归方法分别进行1种和≥2种心血管代谢性疾病的多因素分析,通过Dominance分析计算各影响因素对心血管代谢性疾病及共病的贡献度。结果9091名老年住院患者心血管代谢性共病患病率为55.20%,共病核心病种为高血压,主要的心血管代谢性共病模式为高血压+糖尿病。非条件Logistic回归结果显示75~84岁、≥85岁、急诊入院、药物过敏与心血管代谢性共病高风险相关,而全自费和其他医保类型的老年住院患者心血管代谢性疾病共病风险更低。Dominance分析结果显示对心血管代谢性共病患病影响最大的因素为年龄,占比为52.68%。结论年龄增加、急诊入院和药物过敏是心血管代谢性共病重要的危险因素。医疗卫生机构要根据心血管代谢性共病高危人群的不良生活方式和行为习惯采取干预措施,加强慢性病共病防治的规范化管理,提高人群健康水平。
Objectives This study aims to explore the distribution and influencing factors of cardiovascular metabolic multimorbidity among elderly inpatients,so as to inform strategies for preventing and managing chronic multimorbidity in the elderly.Methods The study subjects consisted of elderly inpatients from a tertiary hospital in Zhuhai,spanning from January 1,2023,to December 31,2023.A total of 9,091 elderly inpatients were included by excluding cases aged<65 years.The χ^(2) test was used to analyze the factors influencing the occurrence of 0,1,or≥2 cardiovascular metabolic diseases.Unconditional logistic regression was applied for multifactorial analysis of 1 and≥2 cardiovascular metabolic diseases,respectively.Dominance analysis was then conducted to calculate the relative contribution of each influencing factor to cardiovascular metabolic diseases and multimorbidity.Results Among 9091 elderly inpatients,5018 developed cardiovascular metabolic multimorbidity,with a prevalence rate of 55.20%.The core comorbidity was hypertension,and the main cardiovascular and metabolic comorbidity pattern was hypertension+diabetes.Multivariable unconditional logistic regression model showed that 75-84 years old,≥85 years old,emergency hospitalization,and drug allergy were associated with a high risk of cardiovascular metabolic multimorbidity.Older patients who were hospitalized entirely at their own expense and those with other health insurance had a lower risk of cardiovascular metabolic multimorbidity.The dominance analysis showed that the top influencing factor of cardiovascular metabolic multimorbidity was age,with a percentage of 52.68%.Conclusions Increasing age,emergency hospitalization and drug allergies are important risk factors for cardiovascular metabolic multimorbidity.Medical and health institutions should take measures to address unhealthy lifestyles and behavioral habits of people at high risk of cardiovascular metabolic multimorbidity,and standardized the prevention and treatment of multimorbidity.
作者
郑浩渠
王莹莹
庄岚清
李璋恒
刘辰
郭丹
Zheng Haoqu;Wang Yingying;Zhuang Lanqing;Li Zhangheng;Liu Chen;Guo Dan(Integrated Traditional Chinese and Westemn Medicine Hospital of Zhuhai,Zhuhai 519000,Guangdong Province,China;不详)
出处
《中国病案》
2025年第3期44-47,共4页
Chinese Medical Record
关键词
住院病案首页
老年人
心血管代谢性共病
影响因素
Front page of inpatient medical records
Elderly
Cardiovascular metabolic multimorbidity
Influencing factor
