在宅死亡之死因分析：台灣宜蘭社區診所的回溯性研究

Death Cause Analysis of Home Death: A Retrospective Study at a Community Clinic in Yilan, Taiwan

目的：探討在宅死亡族群的主要死亡原因與全國主要死亡原因的差異。方法：使用回溯性病例分析，分析2017 到2019 兩年期間宜蘭縣774 名在宅死亡個案的主要死亡原因。結果：在宅前十大死因依序為1. 心臟疾病2. 惡性腫瘤3. 老衰4. 肺炎5. 慢性下呼吸道疾病6. 腦血管疾病7. 腎炎腎病8. 高血壓性疾病9. 糖尿病10. 慢性肝炎肝硬化。死因為老衰的平均死亡年齡為85.71 最大，平均死亡年齡最小的死因為慢性肝炎肝硬化：只有64.11 歲。結論：在宅死亡族群的最大死因是心血管疾病，老衰取代了意外死亡並成為在宅重要死因。

 

Purpose: To explore the differences of main death cause between the home death group and the country. Methods: A retrospective case analysis was used to analyze the main causes of 774 deaths at home in Yilan County from 2017 to 2019. Results: The top ten causes of home death are: 1. Heart disease 2. Malignant neoplasms 3. Senility 4. Pneumonia 5. Chron¬ic lower respiratory tract disease 6. Cerebrovascular disease 7. Nephritis and nephropathy 8. Hypertensive disease 9. Diabetes 10. Chronic hepatitis, cirrhosis. Among the top ten causes of death, the highest average death age is due to senility: 85.71, and the Minimum average death age is due to chronic hepatitis, cirrhosis: only 64.11. CONCLUSION: Heart disease is the largest cause of home death, and senility has replaced accidental death and is an impor¬tant cause of home death.