老年人自发性肺胸病的死亡率和预后因素
Saori Nishizawa1, Kazunori Tobino1, Yousuke Murakami1
1Department of Respiratory Medicine, Iizuka Hospital, Iizuka, Fukuoka, Japan.
PloS one
|September 8, 2023
概括
老年人的肺胸往往是致命的. 这项研究发现,与肺胸炎同时发生的肺炎显著增加了老年患者的死亡风险,突出了死亡率的关键因素.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
背景情况:
- 自发性肺胸炎是一种严重的疾病,特别是在老年人中,以及当其次于其他疾病时.
- 它可能是致命的,耐治疗,需要识别风险因素.
研究的目的:
- 调查65岁及以上患者肺胸病的死亡率和预后因素.
- 在这个人口群体中确定住院死亡率的关键预测因素.
主要方法:
- 从2012年10月到2019年1月,对239名65岁以上肺胸病患者进行了回顾性队列研究.
- 数据收集包括人口统计,病史,吸烟,潜在的肺部疾病,治疗和预后.
- 考克斯比例危险回归分析用于确定死亡率预测因素.
主要成果:
- 15%的患者 (36/239) 在住院期间死亡;83.3%的死亡是由于呼吸系统疾病.
- 88.3%的患者患有潜在的肺部疾病;22.6%患有肺炎.
- 住院时同时出现的肺炎是住院死亡率的独立预测因子 (p=0.02).
结论:
- 住院时同时出现的肺炎是肺胸炎老年患者的显著死亡风险因素.
- 在老年肺胸病患者中早期发现和治疗肺炎可能会改善结果.
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