在农村阿巴拉契亚山脉创伤中心楼梯落后的结果
Michael Zaskey1, Kevin D Seely2, Maxwell Hansen3
1Quillen College of Medicine, East Tennessee State University, Johnson City, TN.
Surgery
|June 28, 2023
概括
跌倒楼梯不成比例地影响老年人,导致更长的住院时间和增加医院后护理需求. 男性患者也面临较高的伤害严重程度和死亡风险,这些跌倒.
科学领域:
- 创伤外科手术是什么
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 跌倒是美国创伤的主要原因之一.
- 楼梯跌倒导致严重的发病率,死亡率和长期残疾.
- 在农村学术创伤中心评估楼梯摔倒患者的结果.
研究的目的:
- 为了分析患者在跌倒楼梯后到创伤中心的结果.
- 为了确定受伤严重程度和医疗保健利用率的人口统计差异.
- 为了告知与楼梯相关的跌倒的预防策略.
主要方法:
- 从2017年1月到2022年6月的创伤登记册的回顾性分析.
- 纳入标准:18岁以上的患者经历了楼梯下跌.
- 排除标准:不涉及楼梯的落.
主要成果:
- 年龄较大的患者 (≥65岁) 住院时间较长 (4.8 vs. 3.6天),伤害严重程度得分较高 (9.1 vs. 6.8).
- 老年人更有可能需要医院后护理 (51%对14.9%).
- 与女性相比,男性患者的伤害严重程度 (9.0比7.6) 和死亡率 (10%比2%) 较高.
结论:
- 经历楼梯摔倒的老年人遭受的伤害更严重,需要更多的医院后护理.
- 男性性与降落楼梯后增加的死亡风险和受伤严重程度有关.
- 防止与楼梯相关的跌倒至关重要,特别是在老年人群中.
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