Mortality in men admitted to hospital with acute urinary retention: database analysis
Mortality in men admitted to hospital with acute urinary retention: database analysis
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DOI：
10.1136/bmj.39377.617269.55
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发表时间：
2007-12-08
影响因子：
--
通讯作者：
van der Meulen, Jan H. P.
中科院分区：
文献类型：
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作者：
Armitage, James N.;Sibanda, Nokuthaba;van der Meulen, Jan H. P.
目的调查因急性尿潴留入院的男性患者的死亡率，并报告合并症对死亡率的影响。设计分析与国家统计局死亡率数据库相连的医院事件统计数据库。1998-2005年。参与者所有年龄超过45岁的男性谁是承认在英国国民保健服务医院与急性尿潴留的第一次发作。主要结果措施死亡率在第一年后急性尿潴留和结果在研究期间，176046名年龄在45岁以上的男性因首次急性尿潴留住院。在100067例自发性急性尿潴留患者中，45-54岁男性的1年死亡率为4.1%，85岁及以上男性的1年死亡率为32.8%。在75979例急性尿潴留患者中，死亡率分别为9.5%和45.4%。在75-84岁的自发性急性尿潴留男性中，最常见的年龄组，无合并症男性的1年死亡率为12.5%，合并症男性为28.8%。男性急性尿潴留的相应数字为18.1%和40.5%。与一般人群相比，死亡率相对增加最高的是45 - 54岁的男性（自发性急性尿潴留标准化死亡率为10.0，急性尿潴留标准化死亡率为23.6），85岁及以上的男性死亡率最低（分别为1.7和2.4）。患者可能受益于多学科护理，以确定和治疗共病条件。
Objectives To investigate mortality in men admitted to hospital with acute urinary retention and to report on the effects of comorbidity on mortality.Design Analysis of the hospital episode statistics database linked to the mortality database of the Office for National Statistics.Setting NHS hospital trusts in England, 1998-2005.Participants All men aged over 45 who were admitted to NHS hospitals in England with a first episode of acute urinary retention.Main outcome measures Mortality in the first year after acute urinary retention and standardised mortality ratio against the general population.Results During the study period, 176 046 men aged over 45 were admitted to hospital with a first episode of acute urinary retention. In 100 067 men with spontaneous acute urinary retention, the one year mortality was 4.1% in men aged 45-54 and 32.8% in those 85 and over. In 75 979 men with precipitated acute urinary retention, mortality was 9.5% and 45.4%, respectively. In men with spontaneous acute urinary retention aged 75-84, the most prevalent age group, the one year mortality was 12.5% in men without comorbidity and 28.8% in men with comorbidity. The corresponding figures for men with precipitated acute urinary retention were 18.1% and 40.5%. Compared with the general population, the highest relative increase in mortality was in men aged 4554 (standardised mortality ratio 10.0 for spontaneous and 23.6 for precipitated acute urinary retention) and the lowest for men 85 and over (1.7 and 2.4, respectivety).Conclusions Mortality in men admitted to hospital with acute urinary retention is high and increases strongly with age and comorbidity. Patients might benefit from multidisciplinary care to identify and treat comorbid conditions.