老年患者选择性手术后30天内功能状况下降的危险因素:前性队列研究
Yudo Murti Mupangati1, Henry Setyawan, Czeresna Heriawan Soejono
11. Doctoral Study Program of Medical and Health Science, Faculty of Medicine, Diponegoro University, Semarang, Indonesia. 2. Division of Geriatric, Department of Internal Medicine, Dr. Kariadi Hospital, Semarang, Indonesia. 3. Faculty of Medicine, Diponegoro University, Semarang, Indonesia. yudomurtidisertasi@gmail.com.
Acta medica Indonesiana
|January 12, 2024
概括
手术后的并发症,手术前的功能状态,低蛋白血症和男性性别是选择性手术后老年人功能状况下降的关键风险因素. 识别这些因素有助于手术决策,并改善患者的治疗结果.
科学领域:
- 老年医学 老年医学
- 手术结果研究研究.
- 功能状态评估功能状态评估
背景情况:
- 老年人面临着功能状况下降的风险,手术加剧了这种风险.
- 很少有研究将印尼老年人的虚弱状态,手术和功能衰退联系在一起.
- 识别风险因素对于手术决策和维持生活质量至关重要.
研究的目的:
- 在老年患者的选择性手术后30天内确定功能状态下降的危险因素.
主要方法:
- 印度尼西亚卡里亚迪医院的前性队列研究 (2021年7月至12月).
- 包括191名老年患者 (≥60岁) 在全身麻醉下接受选择性手术.
- 使用Barthel指数评估日常生活活动 (ADL) 的功能状态;逻辑回归分析了风险因素.
主要成果:
- 28.2%的参与者在30天内经历了功能状态下降.
- 确定了重要的危险因素:男性性别 (OR 4.48),低albuminemia (OR 2.59),不良的手术前功能状态 (OR 2.37) 和术后并发症 (OR 24.885).
结论:
- 手术后的并发症,手术前的功能状况,低蛋白血和男性性别独立地预测了老年手术患者的功能状况下降.
- 这些发现支持针对性的干预措施,以减轻功能衰退.
- 强调全面的手术前后评估的重要性.
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