老年人的脑血管损伤并发症:国家创伤数据库研究
Rosa Negash1, Holly Baselice2, Shruthi Srinivas2
1College of Public Health, The Ohio State University, Columbus, Ohio.
The Journal of surgical research
|December 7, 2023
概括
患有脑血管损伤 (BCVI) 的老年人在住院期间面临更高的中风和肺炎风险. 这项研究强调了与非BCVI病例相比,BCVI患者出现这些并发症的几率增加.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 老年医学 老年医学
背景情况:
- 体脑血管损伤 (BCVI) 涉及到动脉或脊椎动脉的非穿透性创伤,带有显著的发病率.
- 现有的BCVI研究主要侧重于患者分组,对评估后住院并发症的数据有限.
- 由于BCVI患者的脆弱性,了解BCVI老年人的并发症至关重要.
研究的目的:
- 分析老年人 (≥65岁) 中脑血管损伤 (BCVI) 和住院并发症之间的关联.
- 为了比较BCVI患者和非BCVI患者中风和肺炎的发病率.
- 在老年创伤患者群体中确定与BCVI相关的潜在风险因素和结果.
主要方法:
- 利用国家创伤数据库 (2007-2014) 识别65岁及以上的成年患者.
- 进行单变量和多变量分析以评估人口统计,BCVI发病率和住院并发症 (感染,中风).
- 对552名BCVI患者和666,815名非BCVI患者的结局进行比较.
主要成果:
- BCVI患者更有可能是男性,白人,年轻 (65-75岁),患有多种并发症,并拥有医疗保险.
- BCVI患者在重症监护室停留时间更长,呼吸机日数更多,多创伤率更高.
- 在BCVI患者在住院期间观察到,中风和肺炎的几率显著增加.
结论:
- 患有脑血管损伤 (BCVI) 的老年人经历中风和创伤后肺炎的风险明显更高.
- 需要进一步的研究,以确定在老年人群中导致BCVI的可修改风险因素.
- 这些发现强调了对BCVI患者的警监测和管理的重要性,以减轻严重并发症.
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