高龄影响上腺切除术后的结果
Rebecca L Green1, Terry P Gao2, Audrey E Hamilton3
1Department of Surgery, Temple University Hospital, Philadelphia, PA.
Surgery
|July 17, 2023
概括
上腺切除术的结果通常是好的,但老年患者面临更高的并发症和非家庭出院的风险. 这凸显了老龄化外科人员群体需要谨慎咨询的必要性.
科学领域:
- 手术成果研究的研究结果.
- 老年人手术是一项老年人手术.
- 上腺手术是什么?
背景情况:
- 上腺切除术是一种耐受性良好的手术,并发症率低.
- 现有的数据显示出优秀的结果,但不同年龄组的一致性尚不清楚.
研究的目的:
- 评估年龄对上腺切除术结果的影响.
- 为了比较患者的特征,手术指示和手术后的结果,跨越不同的年龄人口统计.
主要方法:
- 利用了2015-2020年美国外科医生学院国家外科质量改进计划数据集.
- 将6114名上腺切除术患者分为以下年龄组:≤60,61-70,71-80和>80岁.
- 使用多变量后勤回归比较结果,包括死亡率,发病率,停留时间,出院目的地和再接收.
主要成果:
- 虽然整体死亡率很低 (<1%),并且在各年龄组一致,但随着年龄的增长,病率和非家庭出院率显著增加.
- >80岁的患者患病概率翻了一番,与≤60岁的患者相比,非家庭出院的概率增加了9倍.
- 年轻的患者更有可能接受非功能良性瘤的手术,而老年患者患恶性瘤的比例更高.
结论:
- 高龄是一个显著的风险因素增加患病率和非家庭排放后上腺切除术.
- 这些发现对于接受上腺切除术的老年患者的知情同意和手术规划至关重要.
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