在过去的15年里,百岁老人的创伤结果是否发生了变化?
Tristan Ross Fraser1, Michael David Wilson1, Richard Laurence Donovan2
1Poole Hospital, University Hospitals Dorset, Longfleet Road, Dorset, BH15 2JB, United Kingdom.
Injury
|December 21, 2023
概括
100岁以上的创伤患者的结果在15年内保持稳定. 尽管有国家护理标准,但在百岁以上的创伤幸存者中,没有观察到住院时间,并发症或死亡率的改善.
科学领域:
- 老年人创伤护理 创伤护理
- 研究成果 研究成果 研究成果
- 老龄化的流行病学.
背景情况:
- 百岁老人代表了一个被低估的人口,经历了严重的创伤相关的发病率和死亡率.
- 15年前的研究表明,仅仅年龄不应该决定创伤患者的治疗.
- 自从之前的研究以来,老年人创伤护理的国家标准已经实施.
研究的目的:
- 重新评估因创伤而入院的百岁以上人的结果.
- 评估在实施国家创伤护理标准后,结果是否发生了变化.
- 将当前的结果与15年前的数据进行比较.
主要方法:
- 追溯对100岁以上受创性住院患者的队列研究.
- 从2020年1月到2022年1月收集的数据.
- 分析结果:住院时间,并发症,住院,30天和12个月的死亡率.
主要成果:
- 包括29名百岁老人;常见的受伤是部 (13),骨盆环 (8) 和头部 (8) 的骨折.
- 在接受手术和非手术治疗的患者中观察到更高的住院患者死亡率.
- 与15年前相比,住院时间,住院死亡率或30天/12个月死亡率没有显著变化.
结论:
- 在过去的15年里,百岁以上的创伤患者的结果一直保持不变,但没有得到改善.
- 当前的国家标准并没有在这个群体中带来明显的改善.
- 需要进一步的干预措施,以提高这一日益增长的人口的结果.
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