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系统血压和年轻创伤患者中老年人与年轻创伤患者的死亡率之间的关系 - - 一项回顾性多中心观察性研究
Axel Benhamed1,2,3, Brice Batomen1,4, Valérie Boucher1
1CHU de Québec-Université Laval Research Centre, Québec, Québec, Canada.
BMC emergency medicine
|September 19, 2023
概括
老年创伤患者在所有静脉压 (SBP) 范围内面临更高的死亡风险. 这项研究揭示了非线性SBP-死亡关系,表明持续的SBP评估可以更好地对老年人进行创伤选.
科学领域:
- 老年创伤护理老年创伤护理
- 紧急医疗 紧急医疗
- 临床流行病学临床流行病学
背景情况:
- 越来越多的老年人遭受创伤.
- 需要适合年龄的创伤分类工具.
- 目前依赖于缩血压 (SBP) 值来评估损伤.
研究的目的:
- 为了比较SBP与老年与年轻创伤患者的死亡率之间的关系.
- 评估SBP作为创伤选中的持续预测器的实用性.
主要方法:
- 分析了来自三家I级创伤中心的47661名创伤患者.
- 后勤回归模型来评估SBP和年龄与死亡率的关联.
- 对重大创伤和严重创伤性脑损伤的子组分析.
主要成果:
- 在老年人群 (65-74岁和≥75岁) 中,整体死亡率显著上升.
- 在所有年龄段观察到SBP和死亡率之间的非线性 (U形) 关系.
- 老年患者在所有SBP水平上都表现出更高的死亡率,特别是在90-109mmHg范围内.
结论:
- SBP与创伤死亡率之间的关联是非线性的,并且取决于年龄.
- 高龄独立地增加了整个SBP谱的死亡风险.
- 在老年人创伤分类工具中,SBP应该被用作连续变量,而不是二分化值.
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