便冲击和非穿孔性硬结肠炎: 糟糕的结果的红旗
Michael Sacerdote1, Joseph Limback1, Jianbin Zhu2
1Radiology, AdventHealth Orlando, Orlando, USA.
Cureus
|July 13, 2023
概括
便缺陷和结肠炎带来了显著的死亡风险,特别是在老年人和患有营养不良或痴呆症等并发症的人群中. 早期诊断和干预对于改善患者结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 便缺陷和结肠炎是普遍存在的疾病,对其相关死亡率的研究有限.
- 了解风险因素和结果对于临床管理和公共卫生倡议至关重要.
研究的目的:
- 为了调查与便缺陷和结肠炎相关的死亡风险.
- 确定影响这些患者结果的人口,临床和诊断因素.
主要方法:
- 在CT报告上对970例医院接触 (885名患者) 进行了回顾性队列研究,这些患者在CT报告上发现了便阻塞或大肠杆结肠炎.
- 根据病情,年龄,BMI,并发症 (痴呆,,营养不良) 和诊断时间,分析死亡率或临终关怀出院率.
主要成果:
- 对于便缺陷 (13.3%) 和非穿孔性肠道结肠炎 (13.1%),死亡率/临终关怀率相似. 穿孔显著增加了风险.
- 随着年龄的增长,降低BMI (<18.5) 和痴呆,或营养不良的存在,死亡风险会增加.
- 与早期诊断 (<3小时) 相比,延迟诊断 (≥12小时) 与较高的死亡率/临终关怀率有关. 败血症是死亡和住院出院中经常出现的并发症.
结论:
- 便缺陷和结肠炎与大量的死亡率有关,受年龄,BMI,并发病症和诊断延迟的影响.
- 痴呆症,,营养不良和败血症等并发症显著增加死亡风险.
- 及时诊断和管理对于改善便缺陷和结肠炎患者的治疗结果至关重要.
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