输血无用的门和老年创伤中的死亡率:脆弱性是否重要?
Joseph C L'Huillier1, Shuangcheng Hua2, Heather J Logghe3
1Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, 14203, USA; Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, 14203, USA.
American journal of surgery
|September 8, 2023
概括
接受大规模输血 (MT) 的老年创伤患者比年轻成年人具有较低的徒劳值 (TT). 在老年患者中,虚弱并没有显著改变TT,尽管非虚弱的老年患者的死亡率较高.
科学领域:
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
- 输血医学 输血医学
背景情况:
- 对于老年创伤患者的大规模输血 (MT) 协议的数据有限.
- 在这个人口群体中了解输血无用度值 (TT) 对于优化护理至关重要.
研究的目的:
- 为了确定老年人输血无用度值 (TT).
- 根据老年创伤患者的虚弱状态来调查TT的变化.
- 为了比较TT和老年和年轻创伤患者之间的结果.
主要方法:
- 从2013-2018年TQIP数据库中对接受MT的患者进行回顾性分析.
- 根据年龄 (老年人与年轻人) 和脆弱性对患者的分层.
- 群体之间的TT和死亡率的比较.
主要成果:
- 与年轻成年人 (39个单位) 相比,老年患者的TT值 (34个单位) 显著降低.
- 在非虚弱,虚弱和严重虚弱的老年患者中没有观察到TT的显著差异.
- 老年人的死亡率比年轻人 (45.8%) 高 (63.1%).
- 非脆弱的老年患者的死亡率最高 (69.4%).
结论:
- 老年创伤患者的TT值低于年轻患者,不论他们的身体是否脆弱.
- 这些发现可能有助于改善治疗结果,并优化老年创伤人口中MT的利用.
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