心力衰竭患者出院后1年内预后状况及影响因素分析

  本文关键词：心力衰竭患者出院后1年内预后状况及影响因素分析，由笔耕文化传播整理发布。

125

·临床研究·

心力衰竭患者出院后1年内预后状况及影响因素分析

孙路路*，吕蓉，梁涛，季诗明，康晓凤，郭金玉，张健

摘要

目的:分析心力衰竭患者出院后1年内预后状况并探索其影响生存的因素。

方法：采用问卷及电话调查的方法，收集心力衰竭患者入院前、住院期间及出院后的再住院或死亡等相关资料；采用Cox回归方法探讨心力衰竭再住院或死亡的影响因素。

结果：共随访258例心力衰竭患者，平均随访约7个月。258例心力衰竭患者出院后1、3、6和12个月的因心力衰竭再住院率分别为1.9%、10.1%、14.3%、17.4%；因心力衰竭死亡率分别为2.3%、6.6%、8.9%、11.6%；因心力衰竭的联合再住院或死亡率分别为4.3%、16.7%、23.3%、29.1%；Kaplan-Meier生存曲线表明，因心力衰竭的累积再住院或死亡率分别为4.3%、16.7%、23.5%、34.3%。Cox生存分析表明，，性别、手术治疗状况、血钠水平、血红蛋白浓度和NTpro-BNP水平是影响心力衰竭1年内再住院或死亡的因素。

结论：心力衰竭患者1年内的累积再住院或死亡率为34.3%。性别、手术治疗状况、血钠浓度、血红蛋白浓度和NTpro-BNP水平仍是影响心力衰竭患者1年内生存的主要因素。 关键词 心力衰竭；再住院率；死亡率；影响因素

Prognosis Status With its Influencing Factors in Heart Failure Patients

During 1 Year of Discharged Period

SUN Lu-lu**, LV Rong, LIANG Tao, JI Shi-ming, KANG Xiao-feng, GUO Jin-yu，ZHANG Jjan.

Department of Cardiology, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC,Beijing (100037), China Co-Corresponding Authors: LIANG Tao and LV Rong, Email: liangtaoy@ and lvrong0202@

Abstract

Objective： To analyze the prognosis status with its influencing factors in heart failure (HF) patients during 1 year of discharged period.

Methods： There were 258 patients with the mean followed-up time of 7 months, the questionnaire survey and telephone visit were performed to collect their clinical information, and Cox regression analysis was applied to explore the related factors for their re-hospitalization or mortality during that period of time.

Results： The re-hospitalization rate in 258 patients caused by CH at 1, 3, 6 and 12 months after discharge were 1.9%, 10.1%, 14.3% and 17.4% respectively; the mortality were 2.3%, 6.6%, 8.9% and 11.6% respectively; the combination of re-hospitalization or mortality were 4.3%, 16.7%, 23.3% and 29.1% respectively. Kaplan-Meier survival curve presented that the accumulative re-hospitalization or mortality caused by CH were 4.3%, 16.7%, 23.5% and 34.3% respectively. Cox regression study showed that gender, the condition of surgery and the levels of blood sodium, hemoglobin and NT-proBNP were the influencing factors for 1 year re-hospitalization or mortality in CH patients.

Conclusion： The 1 year accumulative re-hospitalization and/or mortality in CH patients were 34.3%. Gender, the condition of surgery and the levels of blood sodium, hemoglobin and NT-proBNP were the main influencing factors for CH patient’s survival within 1 year.

Re-hospitalization rate; Mortality; Influence FactorsKey words Heart Failure；

(Chinese Circulation Journal, 2013,28:125.)

作者单位：100037北京市，中国医学科学院 北京协和医学院 心血管病研究所 阜外心血管病医院 心衰病房作者简介：孙路路 护师 硕士 研究方向为心血管病重症护理 Email：sunlulusunsun@ 通讯作者：梁涛 Email: liangtaoy@ 吕蓉为共同通讯作者 Email：lvrong0202@ *现在工作清华大学第一附属医院 重症医学科 **

Now working at the First Affiliated Hospifal of Tsinghua University

中图分类号：R54 文献标识码：A 文章编号：1000-3614（2013）02-0125-04 doi:10.3969/j.issn.1000-3614.2013.02.014

万方数据

  本文关键词：心力衰竭患者出院后1年内预后状况及影响因素分析，由笔耕文化传播整理发布。