手术前的虚弱预测了癌症老年患者手术后的跌倒情况
Shelby Meckstroth1, Amy L Tin2, Robert J Downey3
1Geriatrics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, NY, New York, USA; Louisiana State University Health Sciences Center School of Medicine, New Orleans, LA, USA.
Journal of geriatric oncology
|December 23, 2023
概括
患有癌症的老年人很脆弱,在手术后面临更高的跌倒风险. 手术前的脆弱性查可以帮助减少医院中与跌倒相关的不良事件.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 患者安全 患者安全
背景情况:
- 患者在医院摔倒导致不良结果和降低生活质量.
- 患有癌症的老年人,特别是那些身体脆弱的人,在术后期间患倒的风险增加.
研究的目的:
- 评估术前虚弱与住院患者术后跌倒风险之间的关联.
- 评估在接受手术的老年癌症患者的脆弱性和其他不良结果之间的关系.
主要方法:
- 分析了2014年至2020年期间接受了选择性癌症手术的65岁或以上的7661名患者.
- 利用纪念斯隆·凯特林-脆弱指数 (MSK-FI) 的数据来评估脆弱性.
- 使用后勤回归来分析脆弱性,跌倒和复合结果 (30天再入院或90天死亡) 之间的关联.
主要成果:
- 总共有7,661名患者被分析,其中71名 (0.9%) 患有跌倒.
- 较高的MSK-FI分数与较高的跌倒风险显著相关 (OR,1.40;95% CI,1.21-1.59).
- 虚弱与不良结果有关 (OR,1.07;95% CI,1.02-1.13),但在这个队列中,跌倒与这些结果没有显著关联.
结论:
- 手术前的虚弱是住院患者术后跌倒和癌症老年人的不良结果的重要预测因素.
- 在手术前对脆弱性的查对于实施有针对性的干预措施至关重要.
- 减少跌倒的发生率可以减轻与跌倒相关的不良事件,并提高患者的安全.
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