在老年人群中紧急结直肠手术的结果
Nahar A Alselaim1, Roaa Alsuhaibani1, Sultanah Bin Gheshayan1
1From the Department of General Surgery (Alselaim, Alsuhaibani, bin Gheshayan, Albreakeit, Alhassan, Alharbi), King Saud Bin Abdulaziz University for Health Science, College of Medicine; and from King Abdullah International Medical Research Center (Alselaim), Riyadh, Kingdom of Saudi Arabia.
Saudi medical journal
|July 18, 2023
概括
接受紧急结直肠手术的老年患者住院时间较长,并发症较多. 然而,并发症,而不仅仅是年龄,预测更糟糕的结果,需要个性化护理.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 老年医学 老年医学
- 外科手术的结果
背景情况:
- 老年患者经常出现并发症的增加.
- 老年人紧急结直肠手术需要仔细评估结果.
研究的目的:
- 评估65岁及以上患者紧急结直肠手术的结果.
- 为了比较老年人和年轻患者群体之间的结果.
主要方法:
- 99名老年人和142名接受紧急结直肠手术的年轻患者的回顾性图表审查.
- 对患者人口统计,手术结果,住院时间和生存率的分析.
主要成果:
- 老年患者的肺,心脏和内分泌并发病率明显较高.
- 老年患者的平均住院时间较长 (26.0天 vs 17.8天).
- 逻辑回归表明并发症,而不是年龄,是较差结果的主要预测因素.
结论:
- 老年患者在紧急结直肠手术后经历了更长的住院时间和更多的术后并发症.
- 仅仅年龄本身并不是不良结果的独立风险因素;并发症起更大的作用.
- 对于接受紧急结直肠手术的老年患者来说,个性化患者管理至关重要.
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