老年人脑膜炎:认知障碍与结果有关吗?
Lisa M Kodadek1, Miranda S Moore2, Joseph K Canner2
1Division of General Surgery, Trauma and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
The Journal of surgical research
|July 28, 2023
概括
患有认知障碍的老年人出现在急诊室因分泌体炎而面临住院,手术和死亡的更高风险. 这凸显了为这个脆弱人群制定量身定制的护理策略的必要性.
科学领域:
- 老年医学 老年医学
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 高龄化与分泌管炎和认知障碍的增加率有关.
- 认知障碍对老年急诊室患者分泌炎结局的影响尚不清楚.
研究的目的:
- 为了调查认知障碍和老年人呈现给急诊室的分泌体炎的结果之间的关联.
主要方法:
- 使用全国紧急情况部门样本 (2016-2019) 进行的回顾性队列研究.
- 已确定65岁以上的成年人,首要诊断为结肠分泌炎.
- 根据认知障碍状态对患者进行了分层分类,并使用多变量Poisson回归来分析结果.
主要成果:
- 在683,444名老年人中,5.6%的人有认知障碍.
- 认知障碍与住院患者入院风险增加18%有关 (aRR:1.18).
- 认知障碍患者的胆管切除风险增加了34% (aRR: 1.34) 和死亡风险增加了32% (aRR: 1.32).
结论:
- 认知障碍的老年人呈现分炎的体验更糟糕的结果.
- 认知障碍与住院治疗,手术干预和住院死亡率的增加有关.
- 研究结果强调了考虑认知状态在治疗老年人膜炎时的重要性.
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