The Forensic Pathology of Nonagenarians and Centenarians: Do They Die of Old Age? (The Auckland Experience)
The Forensic Pathology of Nonagenarians and Centenarians: Do They Die of Old Age? (The Auckland Experience)
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九十多岁和百岁老人的法医病理学：他们会死于老年吗？
DOI：
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发表时间：
2001
影响因子：
1
通讯作者：
T. Koelmeyer
中科院分区：
文献类型：
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作者：
S. M. John;T. Koelmeyer
这项研究的目的是提高对老年人常见死亡原因及其相关趋势的认识。回顾了50 ~ 90岁患者的法医尸检。这项研究从1988年1月1日持续到1998年12月11日，在新西兰的奥克兰进行，那里有130万人口。病例分为自然死亡和非自然死亡。在319例病例中，272例（85%）为自然死亡。其中，只有13例（5%）被“注销”为归因于老年或老年衰弱。最常见的死亡原因是缺血性心脏病（IHD）， 74例（23%）；支气管肺炎37例（12%）；骨折28例（9%）；急性心肌梗死25例（8%）；脑血管意外19例（6%）；动脉瘤破裂17例（5%）；61例（19%）死亡是多因素所致。骨折，作为死亡的主要原因或作为一个复杂因素，占29例，仅次于IHD和支气管肺炎。47例死亡（15%）是非自然死亡；其中43起是事故，3起是自杀，1起是他杀。从这些结果可以清楚地看出，年长者会死于疾病；他们不常因年老而死。
The aim of this study is to provide awareness of the common causes of death and their associated trends in the very aged. Forensic autopsies on patients aged >90 years were reviewed. The study lasted from January 1, 1988 to December 11, 1998 and was done in Auckland, New Zealand, the population of which is 1.3 million. Cases were divided into natural or unnatural deaths. Of the total of 319 cases, 272 (85%) deaths were natural. Of those, only 13 (5%) were “written off” as being attributed to old age or senile debility. The most common causes of death were ischemic heart disease (IHD), 74 cases (23%); bronchopneumonia, 37 cases (12%); fractures, 28 cases (9%); acute myocardial infarction, 25 cases (8%); cerebrovascular accident, 19 cases (6%); and ruptured aneurysm, 17 cases (5%); 61 (19%) deaths were multifactorial. Fractures, either as the primary cause of death or as a complicating factor, accounted for 29 cases, third only to IHD and bronchopneumonia. Forty-seven deaths (15%) were unnatural; of those, 43 were accidents, 3 were suicides, and 1 was a homicide. From these results it is clear that the very elderly succumb to disease; they do not often die of old age.