相关实验视频
成人创伤患者的长期存活率
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
概括
创伤入院后的长期死亡率仍然很高,16%的患者在3年内死亡. 出院到熟练的护理机构显著增加死亡的风险,特别是在老年创伤幸存者.
科学领域:
- 创伤护理研究 创伤护理研究
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 住院创伤病例死亡率可能不完全反映整体创伤护理的有效性.
- 关于创伤患者的长期死亡率和离院后死亡预测因素的研究有限.
研究的目的:
- 评估医院出院后成年创伤患者的长期死亡率.
- 确定与死亡风险增加相关的因素,包括排放处置.
主要方法:
- 对124,421名成年创伤患者 (1995-2008) 的回顾性队列研究.
- 使用华盛顿州创伤登记处与死亡证明数据链接.
- 用Kaplan-Meier和Cox的比例危险模型进行分析.
主要成果:
- 三年累积死亡率为16%,明显高于预期的人口率 (5.9%).
- 虽然住院死亡率下降,但长期死亡率在研究期间增加.
- 高龄和退院到熟练护理机构是增加死亡风险的重要预测因素.
结论:
- 很大一部分创伤患者经历了长期的死亡,这凸显了出院后监测的必要性.
- 在所有年龄组中,退院到熟练护理机构是随后死亡的关键风险因素.
- 进一步的研究应侧重于改善长期结果,并确定高风险创伤幸存者的干预措施.
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