预测美国老年成人烧伤患者90天再入院的因素来自2016-2018年全国再入院数据库
Yangtian Yi1, Sebastian Q Vrouwe2, Lawrence J Gottlieb2
1Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
医院的脆弱性和下体烧伤增加了老年人再入院的风险. 手术治疗可能会降低这些患者的再入院率. 需要进一步的研究来指导治疗决策.
科学领域:
- 老年学是一门学科.
- 烧伤手术 烧伤手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 烧伤的老年人面临着高的再入院率.
- 脆弱性与不良的烧伤伤害结果有关,但其对再入院的影响尚不清楚.
研究的目的:
- 调查患者,虚弱,烧伤,手术和医院因素,与急性烧伤伤害后老年人90天再入院相关.
主要方法:
- 全国再接收数据库 (2016-2018) 对50岁以上急性烧伤患者的分析.
- 多变量后勤回归确定了与90天再录取相关的因素.
主要成果:
- 90天再接收率为25.6%,其中大多数是计划外的.
- 增加医院虚弱风险和仅体下部的烧伤与更高的再入院风险有关.
- 在索引入院期间的手术治疗与重新入院风险降低相关.
结论:
- 医院的脆弱性和烧伤位置显著影响老年人重新入院的风险.
- 手术干预可能会减少再入院,但仔细考虑患者的并发症至关重要.
- 需要决策指南来优化老年烧伤患者的手术与保守管理策略.
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