在患有骨骨折的老年患者中,入院高血糖症和术后肺炎之间存在关联
Wanyun Tang1, Wei Yao1, Wei Wang1
1Department of Orthopedics, Dandong Central Hospital, China Medical University, No. 338 Jinshan Street, Zhenxing District, Dandong, Liaoning Province, 118002, P.R. China.
BMC musculoskeletal disorders
|September 1, 2023
概括
入院高血糖症,或在入院时高血糖,在患有部骨折的老年患者中显著增加了术后肺炎的风险. 这一发现有助于在术后期评估和管理患者.
科学领域:
- 老年医学 老年医学
- 内分泌学 在内分泌学.
- 手术并发症 手术并发症
背景情况:
- 住院高血糖是急性损伤患者经常发生的情况.
- 患有关节骨折的老年患者特别容易患上这种疾病.
- 手术后的肺炎是这种患者的人群中的一个重要并发症.
研究的目的:
- 调查入院高血糖和术后肺炎的发生率之间的关联.
- 评估老年关节骨折患者手术后肺炎入院高血糖症的预测值.
主要方法:
- 分析了600名患有关节骨折的老年患者队列.
- 根据入院血糖四分位数,患者被分为四组.
- 用多变量逻辑回归和倾向得分匹配分析来评估风险.
- 使用接收器操作特征 (ROC) 曲线来确定预测截止值.
主要成果:
- 在入院高血糖症患者中,术后肺炎的发生率明显高 (OR = 2.090).
- 入院高血糖表现为术后肺炎的中等预测能力 (AUC = 0.803).
- 较高的葡萄糖四分位数 (Q3和Q4) 与较低的四分位数 (Q1) 相比,与肺炎风险显著增加有关.
结论:
- 住院高血糖是患上术后肺炎的重要危险因素,在老年关节骨折患者.
- 这种生物标志物可以帮助临床医生进行风险分层和术后护理规划.
- 早期发现和治疗高血糖症可能有助于减轻肺炎风险.
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