在地面下跌后,老年患者血中酒精度升高的结果:来自国家创伤质量计划的匹配分析
1Division of Trauma & Surgical Critical Care, Jersey Shore University Medical Center, Neptune, NJ, United States; Hackensack Meridian School of Medicine, Nutley, NJ, United States.
Alcohol (Fayetteville, N.Y.)
|November 15, 2023
概括
跌倒后血中酒精度 (BAC) 升高的老年患者的死亡率和停留时间类似,但并发症率更高. 这项研究强调了这一群体中酒精戒断综合征和深静脉血栓形成的风险增加.
科学领域:
- 老年学是一门学科.
- 创伤外科 手术 创伤外科
- 毒理学 毒理学 毒理学
背景情况:
- 人口老龄化正在增加,与此同时,酒精消费量也在增加.
- 地平面跌倒 (GLF) 在老年人中很常见,酒精使用可能是导致因素.
- 了解血中酒精度升高 (BAC) 对老年人GLF后结果的影响至关重要.
研究的目的:
- 评估住院死亡率,住院时间和出院情况.
- 为了比较GLF后BAC升高和不升高的老年患者之间的结果.
- 为了确定与该人群中BAC升高相关的特定并发症.
主要方法:
- 利用了美国外科医生学院 - 创伤质量改善计划 (ACS-TQIP) 2011-2016年的数据.
- 包括65岁及以上的患者,他们患有GLF,并接受了BAC检测.
- 使用单变量和匹配分析,比较BAC阳性 (>0.08g/dL) 和BAC阴性 (0 mg/dL) 组之间的结果.
主要成果:
- 大约有12%的GLF老年患者检测出BAC升高呈阳性.
- 在BAC阳性和BAC阴性组之间没有观察到在医院死亡率或医院住院时间中位数的显著差异.
- 阳性BAC患者的酒精戒断综合征 (AWS) 和深静脉血栓 (DVT) 发生率显著更高.
- 略高的百分比BAC阳性患者在没有额外服务的情况下被送回家.
结论:
- 在维持GLF的老年患者中,BAC升高与AWS和DVT的风险增加有关.
- 尽管死亡率和停留时间相似,但BAC阳性患者往往需要在出院后获得进一步的服务.
- 这项研究强调了考虑酒精对老年创伤患者的影响的重要性.
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