Córdoba Victoria A, Delgado Lozano L C, Cabrera Vélez R, Kessler P, Perpiña C, Castro C, Rañada M
Unidad de Medicina Familiar y Comunitaria, Hospital Universitario 12 de Octubre, Madrid.
An Med Interna. 1991 Oct;8(10):487-90.
152,902 patients were attended at the Emergency Department of "12 de Octubre" Hospital during 1989; 48,701 of them were seen in the Internal Medicine area. 196 dead, 164 case histories were selected in order to fulfil the protocol. Several variants were analysed, such as age, sex, diagnosis, time spent at the hospital, quality of life, date, etc. 53.6% were male; the median age was 73 years and the overall median age of all patients seen was 55.9 years. Median Karnovsky was 52.50% of the patients died during their first 5 hours at the Emergency Department. The most frequent diagnoses for the area were neurological, followed by cardiovascular, oncological, digestive, etc. The most frequent diseases observed were cerebrovascular accident, cardiac insufficiency and acute infarction, oncological cases and death on arrival. Mortality was higher in winter. On the whole, mortality was higher in oncology patients followed way behind by neurology digestive and cardiovascular patients.
1989年，“十月十二日”医院急诊科接待了152,902名患者；其中48,701人在内科就诊。有196人死亡，为符合方案选取了164份病历。分析了几个变量，如年龄、性别、诊断、住院时间、生活质量、日期等。男性占53.6%；中位年龄为73岁，所有就诊患者的总体中位年龄为55.9岁。卡诺夫斯基评分中位数为52.50%，患者在急诊科的前5小时内死亡。该科室最常见的诊断是神经科疾病，其次是心血管疾病、肿瘤疾病、消化系统疾病等。观察到的最常见疾病是脑血管意外、心脏功能不全和急性梗死、肿瘤病例以及送达时死亡。冬季死亡率较高。总体而言，肿瘤患者的死亡率较高，其次是神经科、消化科和心血管科患者。
