人口老龄化中的创伤复发:谁有更大的风险?
Ryan Taylor1, Austin McCrea2, Nayda Parisio Poldiak2
1University of South Carolina School of Medicine, Columbia, SC.
HCA healthcare journal of medicine
|July 10, 2023
概括
老年人更有可能经历复发性创伤 (复发性创伤),65岁以上的女性遭受跌倒是风险最高的群体. 这凸显了针对性预防策略的必要性,以减少这一脆弱人群中创伤的复发.
科学领域:
- 创伤护理的护理人员.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 重复的创伤情节会增加发病率和死亡率,特别是在老年人中.
- 了解创伤复发对于识别风险患者群体至关重要.
- 这项研究重点关注特定区域成年人群中的创伤复发.
研究的目的:
- 调查成年患者的创伤复发模式.
- 确定与创伤复发相关的人口和临床因素.
- 为了比较老年人 (65岁以上) 和年轻人 (18-64岁) 之间的创伤复发率.
主要方法:
- 一项为期4年的 (2013-2017年) 成人创伤患者多次入院的回顾性研究.
- 65岁以上 (老年人) 与18-64岁 (年轻人) 的患者的比较.
- 排除18岁以下和居住在研究区域以外的患者;数据包括人口统计,损伤特征和临床指标.
主要成果:
- 整体复发率为4%,老年人的复发率显著高 (OR: 1.94).
- 年长的复发性犯罪者更有可能是女性 (OR:4.28) 和经历倒的重创伤 (OR:5.36).
- 年长的成年人创伤复发与较高的伤害严重性得分,更长的住院时间,以及更多的退院后支持或康复需求相关.
结论:
- 创伤可能是反复发生的,导致健康状况不佳,特别是在老年人中.
- 在研究区域中,创伤复发风险最高的群体包括经历落而遭受重创伤的老年女性.
- 加强预防策略至关重要,以减轻在这个已识别的高风险人口中创伤的复发.
关键词:
伤害严重程度得分 伤害严重程度得分南卡罗来纳州 南卡罗来纳州陈旧的老年人 陈旧的老年人老年病的治疗方法年龄较大的成年人.患者重新入院的情况.患者再入院/统计数据和数值数据复发性犯罪行为回顾性研究是回顾性研究.手术 手术 手术 手术 手术 手术 手术一个创伤的创伤创伤.伤口和伤害/流行病学更多相关视频
05:01Murine Model of Controlled Cortical Impact for the Induction of Traumatic Brain Injury
Published on: August 16, 2019
10.4K
08:36Development of an Uncomplicated Mild Traumatic Brain Injury Model Modified by Weight-Drop Method and Evidenced by Magnetic Resonance Imaging
Published on: April 11, 2025
376
相关概念视频
01:19The Effect of Aging on Tissues
2.2K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.2K
01:20Traumatic Memory
132
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
132
01:26Aging
89
Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
89
01:29Bone Disorders
3.7K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.7K
01:27Post-traumatic Stress Disorder
76
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
76
01:29Psychological and Sociocultural Causes of Schizophrenia
142
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
142