紧急整形外科手术对90岁以上患者的术后性能状况的影响
Kaichiro Harada1, Kenya Yamanaka1, Makoto Kurimoto1
1Department of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.
Surgery open science
|January 8, 2024
概括
紧急通用手术 (EGS) 在超老年患者中显著恶化了绩效状态 (PS),几乎没有恢复. 尽管如此,大多数患者和家属都报告了EGS的积极印象.
科学领域:
- 老年人手术是一门老年人手术.
- 外科手术的结果
- 患者表现状态 患者表现状态
背景情况:
- 在紧急整体手术 (EGS) 后的功能恶化是超级老年患者的一个主要问题.
- 有限的研究存在于术后绩效状态 (PS) 在这个人口的变化.
- 这项研究探讨了EGS对超老年人PS的影响.
研究的目的:
- 调查EGS对超老年患者PS恶化的影响.
- 在这个人群中评估EGS后PS恢复的程度.
主要方法:
- 一项历史上的队列研究,涉及77名接受EGS的超老年患者.
- 术前和术后东部合作组织瘤组 (ECOG-PS) 绩效状况的比较.
- 使用紧急外科分数 (ESS) 进行风险调整,并使用问卷进行出院后的评估.
主要成果:
- 在45.5%的患者中,术后的PS恶化.
- 与恶化相关的因素包括较高的ESS (≥7),维持手术前的ECOG-PS (≤2),以及女性性别.
- 虽然PS恢复程度有限 (17%),但94%的患者/家属对EGS印象是积极的.
结论:
- 在超老年患者中,EGS显著恶化PS,特别是那些手术前状态良好的人.
- 手术后的PS恢复是最小的.
- 尽管功能下降,患者和家庭对EGS的满意度仍然很高.
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