在老年人群中,多维脆弱性和贫弱的静脉接之间的关联:一项回顾性研究
Davide Mariani1, Francesco Saverio Ragusa2, Martina Alongi1
1Geriatric and Medicine Unit, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Italy.
这项研究表明,较脆弱的老年人经历了更困难的静脉通道 (VA),包括增加的疼痛和失败的尝试. 多维脆弱与住院老年患者的VA结果较差有关.
科学领域:
- 老年病的医生 老年病的医生
- 血管接入 血管接入
- 患者的治疗结果.
背景情况:
- 老年患者的虚弱和静脉通道 (VA) 挑战之间的关系尚未得到充分理解.
- 困难的VA可以导致患者的不适,延迟治疗,增加医疗费用.
研究的目的:
- 调查住院老年人多维脆弱和静脉通道 (VA) 困难之间的关联.
- 为了确定虚弱是否预测VA的不良结果,包括疼痛和多次尝试.
主要方法:
- 利用多维预后指数 (MPI) 评估145名住院患者 (平均年龄78.6) 的脆弱性.
- 通过使用护士管理的问卷收集了有关静脉接入 (VA) 史和患者报告的疼痛的数据.
- 采用后勤回归分析来调整潜在的混因素.
主要成果:
- 更脆弱的患者 (MPI>0.66) 显示出明显更高的坏VA率 (49.0%对27.3%) 和第一次尝试失败率 (49.0%对22.7%).
- 更脆弱的个体在VA尝试期间报告了更多的疼痛 (63.3%对27.3%) 和更高的疼痛分数.
- 经过调整后的分析表明,较脆弱的患者患VA不良 (OR=2.72),第一次尝试失败 (OR=3.67) 和疼痛 (OR=4.26) 的几率增加.
结论:
- 多维脆弱与住院老年人静脉接入不良结果有显著的关联.
- 虚弱性评估可能有助于识别患有静脉通道困难和相关并发症风险较高的患者.
- 进一步的研究是有必要的,以探索改善VA在脆弱的老年人群的干预措施.
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