与老年患者访问急诊室的严重腹部疾病相关的因素
Ar-Aishah Dadeh1, Wasitthee Uppakarnnuntakul2
1Department of Emergency Medicine, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, 90110, Hat Yai, Songkhla, Thailand. dadehstou@gmail.com.
BMC emergency medicine
|January 25, 2024
概括
报到ED的老年患者的严重腹部疾病与男性性别,厌食症,高NEWS,特定的SBP范围,守护,高白细胞计数和更长的ED停留时间 (EDLOS) 有关. 这些因素有助于识别有风险的老年人.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 临床流行病学临床流行病学
背景情况:
- 腹部疼痛影响了急诊室 (ED) 的20%的老年患者.
- 患有腹部疼痛的老年患者面临更高的严重疾病和死亡风险.
- 在这个人口群体中确定严重腹部疾病的因素至关重要.
研究的目的:
- 为了确定与严重的腹部疾病相关的因素,在老年患者呈现腹部疼痛到ED.
- 为了提高急性腹痛的老年人诊断准确度和患者的治疗结果.
主要方法:
- 从2017年1月到2021年6月的回顾性队列研究.
- 纳入标准:65岁或以上的患者向ED提出急性腹痛.
- 用单变量和多变量逻辑回归分析来确定相关因素.
主要成果:
- 男性性别,厌食症,NEWS 5-6,SBP 100-125 mmHg,守护,WBC ≥14000细胞/mm3,ED停留时间 (EDLOS) 4-8小时或≥8小时与严重的腹部疾病有显著联系.
- 多变量分析确定了每个因素的特定调整的赔率比率 (AOR) 和置信区间 (CI).
结论:
- 老年ED患者严重腹部疾病的关键预测因素包括男性性别,厌食症,提升的国家早期预警分数 (NEWS),特定的静缩血压 (SBP) 范围,腹部保护,白细胞病 (WBC ≥14000细胞/毫米3),和长时间的ED停留时间 (EDLOS).
- 这些发现可以帮助临床医生对患有腹痛的老年患者进行风险分层和及时管理.
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