CAJ | 학술논문

目的探讨2007至2009年北京市25岁以上居民急性冠心病事件院前死亡的特征.方法利用北京市死因登记报告信息系统中的死亡资料,从性别、年龄、地区分布、职业、婚姻状况以及不同文化程度方面分析2007至2009年北京市25岁以上居民急性冠心病事件院前死亡的特征.结果 2007至2009年25岁以上北京市急性冠心病事件死亡患者共有41 732例,其中院前死亡30 159例,占总死亡的72.27％(30 159/41 732),是院内死亡的2.61倍.男性、25～34岁、远郊、农民、未婚和文盲或半文盲急性冠心病事件死亡患者的院前死亡比例分别为72.30％( 16 068/22 224)、91.75％ (89/97)、82.43％(13 513/16 393)、89.50％(10 017/11 192)、80.76％( 592/733)和83.95％(11 388/13 565).在院前死亡的患者中,家中死亡者占的比例最高,为78.80％( 23765/30159).结论 2007至2009年北京市25岁以上居民急性冠心病事件死亡以院前死亡为主,男性、25～34岁、远郊、农民、未婚和文盲或半文盲居民发生院前死亡的比例较高,而家中是院前死亡的主要地点.
목적 탐토2007지2009년북경시25세이상거민급성관심병사건원전사망적특정.방법 이용북경시사인등기보고신식계통중적사망자료,종성별、년령、지구분포、직업、혼인상황이급불동문화정도방면분석2007지2009년북경시25세이상거민급성관심병사건원전사망적특정.결과 2007지2009년25세이상북경시급성관심병사건사망환자공유41 732례,기중원전사망30 159례,점총사망적72.27％(30 159/41 732),시원내사망적2.61배.남성、25～34세、원교、농민、미혼화문맹혹반문맹급성관심병사건사망환자적원전사망비례분별위72.30％( 16 068/22 224)、91.75％ (89/97)、82.43％(13 513/16 393)、89.50％(10 017/11 192)、80.76％( 592/733)화83.95％(11 388/13 565).재원전사망적환자중,가중사망자점적비례최고,위78.80％( 23765/30159).결론 2007지2009년북경시25세이상거민급성관심병사건사망이원전사망위주,남성、25～34세、원교、농민、미혼화문맹혹반문맹거민발생원전사망적비례교고,이가중시원전사망적주요지점.
Objective To analyze the characteristics of out-of-hospital acute coronary heart disease (CHD) deaths in Beijing permanent residents at the age of 25 or more from 2007 to 2009.Methods We analyzed the gender,age,geographical distribution,occupation,marital status and the extent of different education characteristics of out-of-hospital acute CHD deaths of the Beijing permanent residents at the age of 25 or more from 2007 to 2009 using the mortality information database from the Beijing Vital Registration Monitoring System.Results Of the total 41 732 acute CHD deaths,30 159 (72.27％ ) died out of hospital and out-of-hospital mortality was 2.61 times higher than in-hospital mortality.Majority out-of-hospital death occurred in males (72.30％,16 068/22 224),in 25 - 34 years old people ( 91.75％,89/97),in residents living in remoter suburbs and counties (82.43％,13 513/16 393),in rural population (89.50％,10 017/11 192),in non-marital single ( 80.76％,592/733 ) and in people less than five-years of schooling (83.95％, 11 388/13 565).Most out-of-hospital acute CHD death occurred at home (78.80％,23 765/30 159).Conclusions Out-of hospital acute CHD mortality is high in Beijing permanent residents at the age of 25 and over from 2007 to 2009.Male,25 - 34 years old,living in outer suburbs and counties,rural population,non-marital single,and less education years are major risk factors for out-of-hospital acute CHD death.