Jayawardena Suriya, Lauro Joseph R, Eisdorfer Jacob, Indulkar Shalaka, Barua Anomadarshi, Sridhar Sundara
Department of Medicine, Coney Island Hospital, Brooklyn, New York 11235, USA.
Am J Med Sci. 2007 Aug;334(2):87-91. doi: 10.1097/MAJ.0b013e31812f53d6.
To identify factors that contribute to patient death within 48 hours of admission to the emergency department.
A retrospective study of the patients who died within 48 hours of admission to the emergency department, from the years 2000 to 2003. The antemortem diagnosis and postmortem diagnosis were compared.
A total of 189 autopsies were performed. The mean age at death for men (41.4 years) was lower than that for women (48.6) (p = 0.02). In both men and women, cardiac system involvement was the leading cause of death (27.5%), with myocardial infarction at 21.2%. The other common causes of death for both genders were blunt trauma (20.1%), intoxication with alcohol and/or other drugs (13.8%), penetrating trauma (gunshot or stab injuries) (13.2%), pulmonary thromboembolism (7.9%), and death caused by other respiratory causes (7.4%). Death caused by pulmonary thromboembolism was more common in women, whereas death caused by strokes, burns, and penetrating trauma were seen almost exclusively in men.
Our study found a considerable concordance between the presumed antemortem cause of death and the postmortem findings. Although the mean age of death caused by myocardial infarction in our study was 52.45 years, MI caused a significant number of deaths among adults younger than 40 years of age.
确定导致患者在急诊科入院后48小时内死亡的因素。
对2000年至2003年期间在急诊科入院后48小时内死亡的患者进行回顾性研究。比较生前诊断和死后诊断。
共进行了189例尸检。男性的平均死亡年龄（41.4岁）低于女性（48.6岁）（p = 0.02）。在男性和女性中，心血管系统受累都是主要死因（27.5%），其中心肌梗死占21.2%。两性的其他常见死因包括钝性创伤（20.1%）、酒精和/或其他药物中毒（13.8%）、穿透性创伤（枪伤或刺伤）（13.2%）、肺血栓栓塞（7.9%）以及其他呼吸道原因导致的死亡（7.4%）。肺血栓栓塞导致的死亡在女性中更为常见，而中风、烧伤和穿透性创伤导致的死亡几乎仅见于男性。
我们的研究发现生前推测的死因与死后检查结果之间存在相当程度的一致性。尽管我们研究中心肌梗死导致的死亡平均年龄为52.45岁，但心肌梗死在40岁以下的成年人中导致了相当数量的死亡。
