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Analysis of death causes and death time of elderly inpatients in Nanjing Drum Tower Hospital in 2018 |
LI Lingling CHEN Xiaolin |
Department of Geriatrics, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Jiangsu Province, Nanjing 210008, China |
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Abstract Objective To discuss the cause of death and the distribution of death time in elderly hospitalized patients, and to provide basis for prevention and treatment of elderly health problems. Methods A retrospective collection of general data on hospitalized deaths of elderly patients over 60 years old in Nanjing Drum Tower Hospital (hereinafter referred to as “our hospital”) from January to December 2018, descriptive statistics accounted on the proportion of deaths, and circular statistical analysis was used to study the distribution of patients′ death time in months, weeks and 24 hours. Results Among the 386 elderly patients who died, the first cause of death was malignant tumors (138 cases, 35.8%), followed by circulatory system diseases (120 cases, 31.1%), and respiratory system diseases (69 cases, 17.9%). The proportion of deaths from respiratory diseases such as lung infections in patients more than 80 years old was higher. The circular statistics analysis was found that the death peak date was July 31st when analyzed by month; according to the weekly analysis, there were more deaths on Monday, however the peak period of death time was from Friday to Monday; and the peak death time point within 24 hours was 01:45, while the peak time period was 23:00 to 04:28. Conclusion Malignant tumors are the first cause of death for elderly inpatients over 60 years old in our hospital, and the peak death period occurs in the early morning. Strengthening treatment and care during the peak death period and timely adjustment of medical measures will help reduce the mortality rate of elderly inpatients.
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