老年人群的紧急结肠切除:修改的脆弱指数作为早期死亡的危险因素
Claudie-Anne Pigeon1, Jonathan Frigault2, Sébastien Drolet2
1Surgery Department, CHU de Quebec - Laval University, Quebec, Canada. claudie-anne.pigeon.1@ulaval.ca.
概括
修改后的虚弱指数 (mFI) 有效地预测了接受紧急结肠切除的老年患者的早期死亡率. 较高的MFI分数表明死亡风险增加和术后结果较差.
科学领域:
- 老年人手术是一门老年手术.
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
背景情况:
- 人口老龄化需要对老年人进行更多的手术干预.
- 老年患者在紧急手术环境中面临着更高的脆弱性.
- 评估早期死亡和不良术后发展轨迹的风险因素至关重要.
研究的目的:
- 评估在接受紧急结肠切除的老年患者中与早期死亡相关的风险因素.
- 评估修改后的脆弱指数 (mFI) 对这一群体的术后结果的预测值.
主要方法:
- 追溯的,单中心的队列研究.
- 包括75岁以上接受紧急结肠切除的患者 (2016年1月 - 2020年12月).
- 分析了包括mFI,查尔森并发症指数 (CCI) 和手术指示在内的因素.
主要成果:
- 总共有299名患者被纳入;14%的患者经历了30天死亡率.
- 较高的mFI (≥3) 与早期死亡率的增加显著相关 (OR 11.94,p<0.001).
- 增加的MFI与较低的回家率和口腔闭塞相关.
结论:
- 在接受紧急结肠切除的老年患者中,mFI是早期死亡的强有力的预测指标.
- 在老年人群中,mFI可以帮助手术决策.
- 像mFI这样的可访问工具对于优化对脆弱手术患者的护理是有价值的.
更多相关视频
05:53Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
Published on: July 24, 2013
16.7K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
306
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119