老年人的尸检与多重病理学

Autopsy and multiple pathology in the elderly.

作者信息

Poli L, Pich A, Zanocchi M, Fonte G, Bo M, Fabris F

机构信息

Department of Geriatric Medicine, University of Turin, Italy.

出版信息

Gerontology. 1993;39(1):55-63. doi: 10.1159/000213515.

DOI:10.1159/000213515

PMID:8440491

Abstract

We examined autopsy reports and the clinical diagnoses of 600 patients (200 in 1967 and 400 in 1987). For each patient we considered age, diagnostic error, main diseases and presence of multiple pathology. The number of diagnostic errors increased from 1967 to 1987. The diagnostic error was particularly high for pulmonary embolism and septic shock and significantly higher in patients > 65 than < or = 65 years old. Multiple pathology was higher in old patients: we found 4 or more diseases in 195/270 (72.2%) patients > 65 years and in only 135/330 (40.9%) patients < or = 65 years. The average period of hospitalization was directly proportional to the number of diseases present in the same patient.

摘要

我们查阅了600例患者（1967年200例，1987年400例）的尸检报告和临床诊断。对于每例患者，我们考虑了年龄、诊断错误、主要疾病以及是否存在多种病理情况。从1967年到1987年，诊断错误的数量有所增加。肺栓塞和感染性休克的诊断错误尤为高，且65岁以上患者的诊断错误明显高于65岁及以下患者。老年患者的多种病理情况更多：我们发现65岁以上的270例患者中有195例（72.2%）存在4种或更多疾病，而65岁及以下的330例患者中只有135例（40.9%）存在这种情况。平均住院时间与同一患者所患疾病的数量成正比。