医院前延误代表了未被注意到的间隔,影响了老年骨折的死亡率:一个前性队列研究
Akash K Ghosh1, Sandeep Patel1, Devendra Chouhan1
1Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus
|October 9, 2023
概括
在发展中国家,对老年患者的关节骨折护理的延迟增加了死亡风险. 解决医院前延误和改善医院协议对于更好的结果至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 建议对老年人骨折进行及时的手术 (24-48小时).
- 发展中国家面临的挑战导致治疗延迟.
- 延迟呈现和手术影响患者的死亡率.
研究的目的:
- 在老年患者中确定早期关节骨折手术的障碍.
- 评估这些延迟对死亡率的影响.
- 确定短期死亡率的风险因素.
主要方法:
- 对78名老年关节骨折患者 (年龄大于60岁) 的前性队列研究.
- 记录人口统计数据,美国麻醉学会 (ASA) 的分类,以及查尔森并发症指数 (CCI).
- 分析了受伤入院和入院手术的时间,30天和6个月的死亡率,以及延迟的原因.
主要成果:
- 平均受伤至入院时间为3.45天;平均入院至手术时间为4.28天.
- 41%的人推迟了呈现 (由于基础设施,成本,提供商问题);65.3%的人推迟了手术 (44%的组织问题).
- 30天死亡率为19.2%;6个月死亡率为25.6%. 受伤入院的时间和CCI是30天死亡率的风险因素.
结论:
- 前入院延误和较高的查尔森并发症指数 (CCI) 是部骨折后死亡的重要风险因素.
- 需要提高意识,改进转诊系统和标准化医院护理协议.
- 需要进一步的研究来探索社会经济因素,有助于延迟老年关节骨折治疗在发展中国家.
关键词:
早期的手术是早期的手术.老年人的医疗服务部骨折 骨折 部骨折 部骨折胸腔间骨折 (trochanteric fracture) - - 胸腔间骨折 (trochanteric fracture) 是一个发生在胸腔内骨折的情况.部的部的部.更多相关视频
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