Banerjee Debajyoti, Dhar Minakshi, Pathania Monika, Rathaur Vyas Kumar
Department of Medicine, AIIMS, Rishikesh, Uttarakhand, India.
Department of Paediatrics, Government Doon Medical College, Dehradoon, Uttarakhand, India.
J Family Med Prim Care. 2019 Feb;8(2):426-431. doi: 10.4103/jfmpc.jfmpc_416_18.
Currently, in developing countries like India, there is a paradigm shift in the mortality patterns of elderly from communicable to noncommunicable diseases.
This study is aimed at providing an insight on mortality patterns of elderly patients within a 2-year period in a tertiary hospital, All India Institute of Medical Sciences (AIIMS), Rishikesh, India.
This study is a retrospective review of mortality patterns of elderly patients from March 2016 to March 2018 occurring in the Department of General Medicine, in AIIMS, Rishikesh, India. Information derived from the Medical Records Department of AIIMS Rishikesh include age, sex, clinical history, diagnosis, duration, and cause of death.
During this period, a total of 1101 elderly (≥60 years) admissions were done in the Department of General Medicine, AIIMS Rishikesh. A total of 66 patients had expired during their hospital stay. Among this, 35 and 31 cases were elderly male and female patients, respectively, and therefore the ratio of male to female was 1.1:1.0. The peak age group was 60-64 years accounting for 23 patients (34.8%). The age range of patients was 60-94 years, while the modal and mean ages were 65 and 69 years, respectively, with 8.1 standard deviation. The most commonly encountered cause of mortality was cerebrovascular accident constituting 19 (28.8%) cases. The second majority of mortality cases were hypertensive disorders constituting 13 (19.7%) cases, and the third majority were septicemia and pneumonia accounting for 12 (18.2%) and 12 (18.2%) cases, respectively. Others include diabetes mellitus [metabolic disorder; 10 (15.2%) cases], acute renal failure [10 (15.2%) cases], ischemic heart disease or coronary artery disease [6 (9.1%) cases], while malignancies, tuberculosis, hepatitis, chronic liver disease, and chronic obstructive pulmonary disease consisted of five cases (7.6%) each.
Noncommunicable diseases particularly cerebrovascular diseases and hypertensive disorders were the most commonly encountered cause of elderly mortality in this region of North India, that is, the state of Uttarakhand. Notwithstanding a large percentage of mortality patterns also results from communicable diseases with septicemia and pneumonia as the third leading cause of mortality.
目前，在印度等发展中国家，老年人的死亡模式正在从传染病向非传染病转变。
本研究旨在深入了解印度瑞诗凯诗全印医学科学研究所（AIIMS）这一三级医院中，老年患者在两年内的死亡模式。
本研究是对2016年3月至2018年3月期间，印度瑞诗凯诗AIIMS综合内科发生的老年患者死亡模式进行的回顾性研究。从瑞诗凯诗AIIMS病历科获取的信息包括年龄、性别、临床病史、诊断、病程和死亡原因。
在此期间，瑞诗凯诗AIIMS综合内科共收治了1101名老年（≥60岁）患者。共有66名患者在住院期间死亡。其中，老年男性患者35例，女性患者31例，男女比例为1.1:1.0。年龄峰值组为60 - 64岁，共23例（3
