Krause O, Junius-Walker U, Wiese B, Hager K
Centre for Medicine of the Elderly (CME), DIAKOVERE Henriettenstift, Schwemannstr. 19, 30559, Hannover, Germany.
Institute for General Practice, Hannover Medical School, Hannover, Germany.
Z Gerontol Geriatr. 2018 Jan;51(1):81-84. doi: 10.1007/s00391-016-1162-6. Epub 2016 Dec 16.
The life expectancy of the German population has steadily risen in the course of the past decades. As especially the oldest members of the population are treated in geriatric clinics, it would be of interest to investigate whether the increase in population age can also be found among geriatric inpatients.
The demographic data of inpatients of a geriatric clinic in Hannover in the years 1994, 2004 and 2014 were analyzed according to age, gender and classification as acute care or geriatric rehabilitation.
The mean patient age rose by 6 years in the past two decades. This was the case for both men and women but the age of men (+7.5 years) rose more than that of women (+4.9 years). Whereas the patient average age increased, especially in the first decade (+3.9 years), this increase slowed down in the following decade (+1.7 years). The 80 to 89-year-old patients remained the biggest and steadily increasing group (in 1994: 41.1%, 2004: 46.9% and 2014: 51.3%). The greatest increase, however, was found for those aged 90 years and older (1994: 4.8%, 2004: 12.2% and 2014: 17.7%).
The results confirm the professional experiences of many geriatricians in that they care for an increasingly aging clientele. Particularly very old male patients in geriatric clinics are increasing. All health professional groups involved will have to face this challenge.
在过去几十年中,德国人口的预期寿命稳步上升。由于老年病诊所主要治疗的是老年人群中年龄最大的成员,因此研究老年住院患者的年龄增长情况将是很有意义的。
对1994年、2004年和2014年汉诺威一家老年病诊所住院患者的人口统计学数据,按年龄、性别以及急性护理或老年康复分类进行分析。
在过去二十年中,患者的平均年龄上升了6岁。男性和女性均如此,但男性年龄的上升幅度(+7.5岁)大于女性(+4.9岁)。虽然患者的平均年龄有所增加,尤其是在第一个十年(+3.9岁),但在接下来的十年中,这种增长速度有所放缓(+1.7岁)。80至89岁的患者仍然是最大且人数持续增加的群体(1994年:41.1%,2004年:46.9%,2014年:51.3%)。然而,年龄在90岁及以上的患者增长幅度最大(1994年:4.8%,2004年:12.2%,2014年:17.7%)。
这些结果证实了许多老年病医生的专业经验,即他们所护理的患者群体日益老龄化。老年病诊所中特别高龄的男性患者人数正在增加。所有相关的医疗专业群体都将不得不面对这一挑战。