在接受胰腺切除术的老年患者中,使用医院脆弱性风险评分预测住院相关残疾
Tatsuro Inoue1, Ryo Momosaki2, Akio Shimizu3
1Department of Physical Therapy, Niigata University of Health and Welfare, 1398 Shimami-cho, Kita-ku, Niigata, 950-3198, Japan. tatsuro-inoue@nuhw.ac.jp.
European geriatric medicine
|February 10, 2024
概括
医院脆弱性风险评分 (HFRS) 识别了接受胰腺切除术的老年患者的脆弱性. 较高的HFRS得分显著增加了手术后住院相关残疾 (HAD) 的风险.
科学领域:
- 老年医学 老年医学
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 虚弱和住院相关残疾 (HAD) 对接受胰腺切除术的老年患者来说是一个重大问题.
- 医院脆弱性风险评分 (HFRS) 是使用电子健康记录评估脆弱性的验证工具.
- 手术前的脆弱性评估可以预测术后的结果,包括功能下降.
研究的目的:
- 调查HFRS测量的手术前脆弱性与接受胰腺切除术的老年患者中HAD发生率之间的关联.
- 为了确定HFRS是否可以预测胰腺手术后发展HAD的风险.
主要方法:
- 全国医院数据库的回顾性分析.
- 包括65岁或以上的患者,他们在2014年4月至2020年8月期间为胰腺癌接受了治疗性胰腺切除术 (ICD-10 C25).
- 使用HFRS评估手术前的脆弱性和HAD的主要结果,通过后勤回归分析.
主要成果:
- 总共分析了671名患者 (平均年龄为74.3岁).
- 与低风险 (8.4%,p < 0.001) 相比,中等和高HFRS风险的患者 (33.3%) 的HAD发病率明显高.
- 中等和高脆弱性风险与HAD的3.55倍增加的可能性有关 (OR,3.55;95% CI:1.12-11.2).
结论:
- 通过HFRS评估的手术前脆弱性是老年人胰腺切除术后住院相关残疾的重要预测因素.
- 这些发现强调了脆弱性评估在胰腺癌患者手术风险分层中的重要性.
- 需要进一步的研究来开发有针对性的术后干预措施,以减轻HAD和改善功能恢复.
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