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创伤后一年的老年患者:息性表现量表预测功能结果

Michele Fiorentino¹, Franchesca Hwang¹, Sri Ram Pentakota¹

¹Rutgers New Jersey Medical School, 185 South Orange Avenue, Medical Science Building, Room G 594, Newark, NJ 07101.

|August 2, 2023

概括

在老年创伤患者中,伤害前息性表现量 (PPS) 预测了伤害后一年的死亡率和功能状态. 较低的PPS分数表明,出现不良结果和死亡的风险更高.

科学领域:

老年人创伤护理创伤护理
临床结果研究研究
脆弱性评估脆弱性评估

背景情况:

创伤患者的虚弱与并发症,死亡率和依赖性等不良结果有关.
传统的结果指标无法捕捉以患者为中心的方面,如功能状态和生活质量.

研究的目的:

调查息性绩效量表 (PPS) 是否可以预测老年创伤幸存者的一年死亡率和功能状态.

主要方法:

55岁及以上的创伤幸存者的前性观察研究.
患者分为高 (>70) 和低 (≤70) 的伤害前PPS组.
使用GOSE,Euroqol-5D和SF-36在一年内评估功能状态;计算调整后的相对风险.

主要成果:

低的伤害前PPS独立预测了1年后的功能不良结果 (aRR2.64) 和死亡 (aRR3.64).
在低PPS组 (30%) 的死亡率明显高于高PPS组 (8%) 的死亡率.
78%高PPS患者获得了良好的功能结果,而低PPS患者的这一比例为30%.

结论:

伤害前息性表现量 (PPS) 是老年创伤患者一年死亡率和功能状况的重要预测指标.
在受伤前PPS得分较低的患者更有可能经历功能下降而不是改善.
持续的疼痛,焦虑和日常活动限制在两组PPS中都是常见的.

关键词:

脆弱性脆弱性脆弱性老年创伤患者的创伤护理的目标护理的目标长期的结果长期的结果外科手术缓和护理缓和护理

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