CAJ | 학술논문

目的：探讨缺血性脑卒中患者住院死亡的危险因素。方法收集2011年1月至2012年12月我院神经内科住院确诊的1275例急性缺血性脑卒中病例，采用统一设计的调查表，调查内容包括个人特征、既往史、实验室检查结果、临床特征等，对影响卒中死亡的相关因素进行单因素及多因素分析。结果1275例患者住院期间死亡25例，病死率为2.0%。经单因素及多因素回归分析显示，与卒中死亡相关的因素为年龄（OR=4.435,95%CI：1.245～15.798）、白细胞计数（OR=3.974，95%CI：1.620～9.748）、入院美国国立卫生院卒中量表（National Institutes of Health Stroke Scale, NIHSS）评分（OR=2.488，95%CI：1.665～3.717）及并发症（OR=4.021，95%CI：1.608～10.052）。结论高龄、白细胞计数高、入院NIHSS评分高及有并发症是缺血性脑卒中患者住院死亡的重要危险因素。
목적：탐토결혈성뇌졸중환자주원사망적위험인소。방법수집2011년1월지2012년12월아원신경내과주원학진적1275례급성결혈성뇌졸중병례，채용통일설계적조사표，조사내용포괄개인특정、기왕사、실험실검사결과、림상특정등，대영향졸중사망적상관인소진행단인소급다인소분석。결과1275례환자주원기간사망25례，병사솔위2.0%。경단인소급다인소회귀분석현시，여졸중사망상관적인소위년령（OR=4.435,95%CI：1.245～15.798）、백세포계수（OR=3.974，95%CI：1.620～9.748）、입원미국국립위생원졸중량표（National Institutes of Health Stroke Scale, NIHSS）평분（OR=2.488，95%CI：1.665～3.717）급병발증（OR=4.021，95%CI：1.608～10.052）。결론고령、백세포계수고、입원NIHSS평분고급유병발증시결혈성뇌졸중환자주원사망적중요위험인소。
Objective To investigate the risk factors for hospitalized death of ischemic stroke patients. Methods One thousand two hundred and seventy-five cases of acute ischemic stroke admitted into our hospital between Jan-uary 2011 and December 2012 were retrospectively collected. A uniform designed questionnaire was used to investigate the possible associated risk factors. The survey contents included personal characteristics, past medical history, clini-cal laboratory results and clinical features. The influential risk factors on fatality were analyzed by monovariable analysis and multivariable analysis. Results Twenty-five cases died during hospitalization. The mortality rate was 2.0%. Mono-variant and multivariant regression analysis showed that the factors associated with death were age (OR=4.435, 95%CI:1.245~15.798), leukocyte count (OR=3.974, 95%CI:1.620~9.748), admission NIHSS score (OR=2.488, 95%CI:1.665~3.717) and complications (OR=4.021, 95%CI:1.608~10.052). Conclusion Old age, high leukocyte count, high admission NIHSS score and concurrent complications are the important risk factors associated with hospitalized death in ischemic stroke patients.