虚弱对手术后独立生活的影响:基于人口的回顾性队列研究
1Allan Garland, Winnipeg Health Sciences Centre, 820 Sherbrook St., GF-222, Winnipeg, Manitoba, Canada R3A1R9, Email: allan.garland@umanitoba.ca, Phone: 204-787-1198.
The Journal of frailty & aging
|February 2, 2024
概括
手术前的脆弱性显著增加了手术后入住养老院 (NH) 的风险. 评估脆弱性对于知情同意和患者护理计划至关重要.
科学领域:
- 老年人手术是一门老年人手术.
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 对于大多数人来说,生活质量优先于寿命.
- 超过50%的人对安置在养老院 (NH) 表示极度厌恶.
研究的目的:
- 为了确定手术前的虚弱是否与手术后的新NH安置有关.
- 评估脆弱性与其他不良结果 (如死亡率和资源利用率) 之间的关联.
主要方法:
- 基于人口的回顾性队列研究在加拿大曼尼托巴省 (2000-2017年).
- 包括7408名65岁以上的个人,接受了非心脏手术.
- 使用手术前脆弱性指数 (pFI) 评估脆弱性;结果包括NH入院/等待名单,死亡率和180天内资源使用.
主要成果:
- 较高的手术前虚弱指数 (pFI) 与所有六种不良结果有显著的关联.
- 每增加0.1个单位的pFI与新NH入院或等待列表的3.01个危险比率相关 (p<0.0006).
结论:
- 较大的手术前脆弱性与手术后NH安置的可能性更高密切相关.
- 建议对手术候选人进行手术前的脆弱性评估.
- 知情同意应包括讨论手术后可能失去独立性的情况.
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