Study on clinical features and 30-day death-correlated risk factors for elderly patients with acute chest pain leading to emergency department visit
10.3760/cma.j.issn.0254-9026.2017.07.016
- VernacularTitle:急诊老年胸痛患者临床特征和30天死亡危险因素研究
- Author:
Huilin JIANG
;
Yunmei LI
;
Junrong MO
;
Haifeng MAO
;
Min LI
;
Caowei TIAN
;
Peiyi LIN
;
Xiaohui CHEN
- Keywords:
Chest pain;
Death;
Emergency department
- From:
Chinese Journal of Geriatrics
2017;36(7):780-783
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To investigate clinical features and the risk factors for 30-day death in elderly chest pain patients.Methods In the prospective study,514 patients with acute chest pain leading to emergency department visit were selected from March 2012-August 2010 and grouped into elderly group (aged≥65 years,n=309) and non-elderly group (aged< 65 years,n=205).The patient's clinical data during 30-day follow-up period were recorded for analysis and comparison.Multivariate regression analysis was used to investigate the risk factors of death.Results Among 514 cases with acute chest pain,30(5.8%)patients with all-cause death included 24 cases in group of 309 (7.8%) elderly patients and 6 (2.9%) cases in group of 205 non-elderly patients during 30 day follow-up period.Univariate regression analysis showed that female,low SBP,Killips' classification ≥ Ⅱ,high level of serum troponin T and creatinine,coronary artery ischemia were more likely to died during 30 day follow-up period.And female and Killips' classification ≥ Ⅱwere the independent factor for 30-day death in the elderly[OR:3.55 (95%CI:1.00-12.59) and 5.90 (95%CI:1.31-26.63)]respectively.Conclusions Elderly patients with acute chest pain for first emergency department visit are at high risk for 30-day death.Female and cardiac function Killips' classification ≥ Ⅱ,high levels of serum troponin T and creatinine and coronary artery ischemia are associated with 30-day death in patients with acute chest pain for first emergency visit.Female and Killips' classification ≥ Ⅱare the independent risk factor for 30-day death.
