関連する実験動画
大人のトラウマ患者の長期生存率は,
Giana H Davidson1, Christian A Hamlat, Frederick P Rivara
1Harborview Injury Prevention and Research Center, and Department of Surgery, University of Washington, Seattle, USA.
JAMA
|March 10, 2011
まとめ
トラウマ入院後の長期的な死亡率は依然として高く,患者の16%が3年以内に死亡しています. 熟練した看護施設への退院は,特に高齢のトラウマの生存者にとって,死のリスクを大幅に増加させます.
科学分野:
- トラウマケアに関する研究
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 入院トラウマ患者の死亡率は,全体的なトラウマケア効果を完全に反映していない可能性があります.
- トラウマ患者の長期的な死亡率と退院後の死亡予測要因に関する研究は限られている.
研究 の 目的:
- 病院出院後の成人トラウマ患者の長期的な死亡率を評価する.
- 退院処分を含む死亡リスクの増加に関連する要因を特定する.
主な方法:
- 124,421人の成人トラウマ患者 (1995年 - 2008年) の遡及コホート研究.
- ワシントン州トラウマ・レジストリを利用し,死亡証明書のデータとリンクした.
- 分析のためのカプラン・マイヤーとコックスの比例リスクモデルを使用した.
主要な成果:
- 3年間の累積死亡率は16%で,予想の人口比率 (5.9%) よりも大幅に高かった.
- 病院での死亡率は減少したが,研究期間中に長期的な死亡率は増加した.
- 高齢化と熟練した介護施設への退院は,死亡リスクの増加の有意な予測要因でした.
結論:
- トラウマ患者のかなりの割合が長期的な死亡を経験しており,退院後のモニタリングの必要性を強調しています.
- 熟練した介護施設への退院は,すべての年齢層において,その後の死亡の重要な危険因子です.
- 長期的な成果を改善し,高リスクのトラウマの生存者のための介入を特定することに焦点を当ててさらなる研究を行うべきである.
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