老年人尾炎的非手术治疗失败的风险
Nicole Lunardi1, Elisa Marten2, Sherene Sharath3
1Department of Surgery, University of Texas Southwestern, Dallas, TX, USA; Department of Surgery, North Texas VA Health Care System, Dallas, TX, USA.
American journal of surgery
|February 6, 2024
概括
失败的尾炎非手术治疗导致老年人出现更糟糕的结果. 这包括较高的发病率,更长的住院时间,成本增加,与年轻患者相比,更熟练的设施出院.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年患者尾炎的非手术治疗失败的结果没有得到充分的记录.
- 尾炎管理策略需要仔细考虑,特别是在脆弱人群中.
研究的目的:
- 调查和比较失败的非手术治疗尾炎的后果,年长的成年人与年轻的患者.
- 量化疾病发病率,住院时间,费用和出院处置的差异.
主要方法:
- 利用国家住院患者样本 (2004-2017年) 识别急性尾炎非手术治疗的患者.
- 较年轻 (<65岁) 和较年长 (≥65岁) 成人队伍之间的结果比较.
- 员工倾向得分分析,以估计结果的差异.
主要成果:
- 在≥65岁以上的患者中,非手术性尾炎失败与显著更高的发病率 (14%与7%相比),更长的逗留时间 (6天与3天相比),成本增加 (15,964美元与9015美元相比) 和更多的退院到熟练设施 (12%与1%相比) 相联系.
- 与年轻人相比,这些差异在老年人群中更加明显.
结论:
- 在老年人中,非手术治疗尾炎与明显更糟糕的结果有关.
- 在考虑在老年人群中治疗尾炎的非手术治疗时,需要谨慎的做法.
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