在患有认知障碍的患者中,尿路结石疾病负担增加
Ahmed Elshafei1, Victor Chalfant1, Mohammed Al-Toubat1
1Department of Urology, University of Florida Jacksonville, FL 32209, USA.
American journal of clinical and experimental urology
|July 13, 2023
概括
患有认知障碍的患者在住院期间会出现更高的结石疾病和相关的尿道并发症. 这突出了需要进一步调查的潜在医疗保健不平等现象.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 认知障碍,包括痴呆症,在泌尿病患者中很常见.
- 了解这种人群中石头疾病的患病率和结果至关重要.
研究的目的:
- 评估认知障碍患者因结石病入院患者的患病率和结果.
- 为了比较认知障碍患者和没有认知障碍患者之间的并发症率.
主要方法:
- 使用国家住院患者样本数据库 (2015-2019) 进行的队列研究.
- 识别了患有石头疾病的成年患者,根据认知障碍状态进行二分化.
- 多变量逻辑回归分析了与尿道并发症相关的因素.
主要成果:
- 223,072名患有石头疾病的患者被确定;认知障碍患者年龄较大,女性更常见,护理机构出院率更高.
- 认知障碍与明显更高的尿路感染率,肺炎,败血症和急性功能衰竭有关.
- 女性性别,低收入和认知障碍独立增加了尿道并发症风险 (P<0.001).
结论:
- 在住院治疗期间,认知障碍患者患石头疾病和相关尿道并发症的患病率更高.
- 认知障碍是石头疾病不良结果的独立风险因素.
- 认知障碍患者的医疗保健不平等性需要进一步研究.
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