老年烧伤患者提交创伤服务的结果:脆弱因素是如何发生的?
Ben Litmanovich1, Qaidar Alizai1, Collin Stewart1
1Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine, University of Arizona, Tucson, Arizona.
The Journal of surgical research
|October 8, 2023
概括
老年烧伤患者的脆弱性增加了住院和ICU的停留时间,以及血栓性并发症. 然而,脆弱性并不能独立预测这个创伤组的死亡率或整体并发症.
科学领域:
- 老年人创伤研究研究.
- 烧伤伤害的结果
- 脆弱性评估 脆弱性评估
背景情况:
- 脆弱性对老年创伤患者的结果产生负面影响.
- 关于虚弱对老年创伤患者与并发烧伤患者的影响的数据有限.
研究的目的:
- 为了比较脆弱和非脆弱的老年创伤患者与并发烧伤患者之间的结果.
主要方法:
- 2018年美国外科医生学院创伤质量改善计划的回顾性分析.
- 包括老年人 (≥65岁) 创伤患者,其中≥10%的总体表面积烧伤.
- 用5个因素修改的脆弱指数对脆弱和非脆弱群体进行分层.
主要成果:
- 脆弱性不是死亡率或整体并发症的独立预测因素.
- 脆弱的患者在医院和重症监护室 (ICU) 停留时间 (LOS) 显著长.
- 虚弱的患者患血栓并发症的比率更高.
结论:
- 虚弱与长时间的住院和ICU LOS以及老年创伤患者烧伤的血栓性并发症增加有关.
- 在这个人群中,脆弱性不能独立预测死亡率或整体并发症.
- 未来的研究应该探索早期脆弱性评估和针对这个患者群体的量身定制干预措施.
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