Characteristics and risk factors of heart failure in elderly critically ill patients

doi:10.3877/cma.j.issn.2095-6568.2018.01.004

Abstract

Abstract:

Objective

To investigate the characteristics and risk factors of heart failure in elderly critically ill patients.

Methods

The clinical data of 100 elderly critically ill patients treated in emergency department of the Affiliated Hospital of Xuzhou Medical University from January of 2016 to July of 2017 were retrospectively analyzed. All patients were divided into 65 patients without heart failure and 35 patients with heart failure, and the characteristics of heart failure and related risk factors were analyzed.

Results

The age, incidence rates of coronary heart disease, diabetes mellitus, respiratory failure, renal insufficiency, valvular heart disease in patients with heart failure were higher than those in patients without heart failure (P<0.05). Logistic regression analysis showed that coronary heart disease, diabetes mellitus, respiratory failure, renal insufficiency, valvular heart disease were risk factors for heart failure in critically ill elderly patients.

Conclusion

Coronary heart disease, diabetes mellitus, and respiratory failure are risk factors for heart failure in elderly critically ill patients. When treating patients with this disease, comprehensive consideration should be given to their underlying diseases.

Key words: Elderly, Critical illness, Heart failure, Risk factor

Weichao Ding, Tieyan Xu, Liang Xian, Ying Ying, Jiannong Lü. Characteristics and risk factors of heart failure in elderly critically ill patients[J]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2018, 06(01): 10-12.

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Figures/Tables 2

References 8

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因素		未合并心力衰竭组(n＝65)	合并心力衰竭组(n＝35)	χ²值	P值
性别		?	?	?	?
?	男	36	19	0.011	0.916
?	女	29	16	0.011	0.916
年龄(岁)		72.01±3.09	75.53±3.17	5.385	0.000
冠心病		9(13.85)	14(40.00)	8.787	0.003
糖尿病		11(16.92)	13(37.14)	5.099	0.024
高血压		15(23.08)	9(25.71)	0.087	0.768
高血脂症		4(6.15)	5(14.29)	0.978	0.175
心房颤动		3(4.62)	2(5.71)	0.058	0.810
恶性肿瘤		5(7.69)	5(14.29)	0.488	0.295
呼吸衰竭		16(24.62)	16(45.71)	4.654	0.031
支气管哮喘		4(6.15)	3(8.57)	0.002	0.651
肾功能不全		2(3.08)	8(22.86)	6.128	0.005
扩张性心肌病		2(3.08)	2(5.71)	0.011	0.521
瓣膜性心脏病		3(4.62)	7(20.00)	4.396	0.014
支气管扩张症		2(3.08)	1(2.86)	0.306	0.951
陈旧性肺结核		1(1.54)	2(5.71)	0.306	0.243
肝功能衰竭		4(6.15)	5(14.29)	0.978	0.175
脑血管疾病		9(13.85)	5(14.29)	0.058	0.952
慢性阻塞性肺疾病		15(23.08)	8(22.86)	0.001	0.980

因素		未合并心力衰竭组(n＝65)	合并心力衰竭组(n＝35)	χ²值	P值
性别		?	?	?	?
?	男	36	19	0.011	0.916
?	女	29	16	0.011	0.916
年龄(岁)		72.01±3.09	75.53±3.17	5.385	0.000
冠心病		9(13.85)	14(40.00)	8.787	0.003
糖尿病		11(16.92)	13(37.14)	5.099	0.024
高血压		15(23.08)	9(25.71)	0.087	0.768
高血脂症		4(6.15)	5(14.29)	0.978	0.175
心房颤动		3(4.62)	2(5.71)	0.058	0.810
恶性肿瘤		5(7.69)	5(14.29)	0.488	0.295
呼吸衰竭		16(24.62)	16(45.71)	4.654	0.031
支气管哮喘		4(6.15)	3(8.57)	0.002	0.651
肾功能不全		2(3.08)	8(22.86)	6.128	0.005
扩张性心肌病		2(3.08)	2(5.71)	0.011	0.521
瓣膜性心脏病		3(4.62)	7(20.00)	4.396	0.014
支气管扩张症		2(3.08)	1(2.86)	0.306	0.951
陈旧性肺结核		1(1.54)	2(5.71)	0.306	0.243
肝功能衰竭		4(6.15)	5(14.29)	0.978	0.175
脑血管疾病		9(13.85)	5(14.29)	0.058	0.952
慢性阻塞性肺疾病		15(23.08)	8(22.86)	0.001	0.980

组别	β	S.E.	Wald	P值	OR(95% CI)
冠心病	0.361	0.158	5.218	0.023	1.720(1.503～1.998)
糖尿病	0.891	0.146	37.244	0.005	2.436(1.831～3.240)
呼吸衰竭	0.666	0.358	3.489	0.046	1.980(1.004～3.804)
肾功能不全	0.599	0.266	16.639	0.012	1.469(1.236～1.700)
瓣膜性心脏病	0.173	0.218	3.627	0.043	1.845(1.556～2.188)

组别	β	S.E.	Wald	P值	OR(95% CI)
冠心病	0.361	0.158	5.218	0.023	1.720(1.503～1.998)
糖尿病	0.891	0.146	37.244	0.005	2.436(1.831～3.240)
呼吸衰竭	0.666	0.358	3.489	0.046	1.980(1.004～3.804)
肾功能不全	0.599	0.266	16.639	0.012	1.469(1.236～1.700)
瓣膜性心脏病	0.173	0.218	3.627	0.043	1.845(1.556～2.188)

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