住院中风患者的并发症和结果:全国性住院分析
1Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China.
Frontiers in neurology
|November 2, 2023
概括
伴随性疾病在老年中风患者中普遍存在,显著增加了医院死亡率,住院时间和费用. 有效的并发症管理对于改善医疗保健和减少美国医疗保健负担至关重要.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 卒中是老年人中残疾和死亡的主要原因之一.
- 伴随性疾病的存在显著影响患者的治疗结果和医疗保健资源的利用.
- 了解住院中风患者的并发症模式对于有针对性的干预措施至关重要.
研究的目的:
- 描述美国住院老年中风患者的医疗保健利用率和并发症结果.
- 分析这种患者群体的并发症和不良结果之间的关联.
主要方法:
- 使用了2019年国家住院样本 (NIS) 数据集.
- 用ICD-10-CM代码识别了65岁以上因急性中风住院的患者.
- 评估了使用埃利克沙瑟并发症指数的并发症,并分析了患病率,住院死亡率,住院时间和医院总费用.
主要成果:
- 在451,945名老年中风患者中,90%以上患有至少两种并发症;中位数为4.0.
- 最常见的并发症包括无并发性高血压 (55.4%), (40.1%),充血性心力衰竭 (39.8%).
- 伴随性疾病与住院患者死亡率增加 (OR 1.09),住院时间更长 (0.68天) 和成本更高 (1.874.9美元) 显著相关.
结论:
- 在美国,在住院的老年中风患者中,并发症非常普遍.
- 伴随性疾病大大增加了医疗负担和住院患者的死亡率.
- 建议将并发症管理纳入老年人中风护理.
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