用于预测急性胰腺炎老年患者临床结果的实验室参数和评分系统
A E Kayipmaz1, S Gedikaslan, R F Aydogan
1Department of Emergency, Ankara Etlik City Hospital, Ankara, Turkey. afsinemre.kayipmaz@saglik.gov.tr.
European review for medical and pharmacological sciences
|December 1, 2023
概括
老年人的急性胰腺炎 (AP) 带来了独特的挑战. 在65岁及以上的患者中,早期诊断和迅速治疗严重的AP可以减少并发症和成本.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 关键护理医学 关键护理医学
背景情况:
- 急性胰腺炎 (AP) 是胃肠道住院的重要原因之一.
- 老年患者经常经历更严重的AP表现.
- 识别老年人严重AP的风险因素对于管理至关重要.
研究的目的:
- 分析65岁及以上患者AP的临床和实验室特征.
- 评估这些特征对住院,死亡率和成本的影响.
- 为了确定老年AP患者严重结局的预测因素.
主要方法:
- 对218名65岁以上的患者进行了回顾性审查,在急诊室诊断出AP.
- 纳入标准:脂酶水平>3x正常的上限.
- 收集的数据:生命体征,病史,实验室值,病因和临床分数 (兰森,GSS,BISAP).
主要成果:
- 平均年龄为76岁,70.6%是女性,54.6%患有胆结石.
- 有90.4%的患者入院于普通病房,7.3%的患者入院于重症监护室.
- 住院死亡率为5.63%.
- 兰森,GSS,BISAP分数,乳酸盐,公素和淋巴细胞-白蛋白比率预测了ICU入院和死亡率.
结论:
- 在所有患者中,AP的早期诊断至关重要.
- 对于严重的AP,迅速启动治疗是必不可少的,特别是在老年患者中.
- 有效的管理可以降低并发症率和医疗保健成本.
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