在接受家庭护理的老年患者中,与住院社区获得的肺炎相关的因素
Jui-Kun Chiang1, Hsueh-Hsin Kao2, Yee-Hsin Kao3
1Department of Family Medicine, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 2, Minsheng Road, Dalin, Chiayi 622, Taiwan.
社区获得性肺炎 (CAP) 影响在家护理中的老年患者. 男性性别和鼻管增加了CAP风险,而质子抑制剂可能提供保护. 死亡和入院病例与终身护理有关.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 肺炎是台湾的主要死亡原因,特别是在老年人中 (92%).
- 在全球范围内,社区获得性肺炎 (CAP) 造成了严重的健康负担.
- 接受家庭护理的老年人代表了肺炎的脆弱人群.
研究的目的:
- 确定在接受家庭护理的老年患者中与社区获得性肺炎 (CAP) 相关的因素.
- 探索患者特征,医疗干预和CAP风险之间的关系.
- 检查老年CAP患者的终身护理指标.
主要方法:
- 对从2018年1月到2019年12月的医疗病历进行了回顾性研究.
- 涉及220名老年患者 (平均年龄为82.0±1.1岁),接受家庭护理.
- 多重物流回归分析以确定CAP的重要预测因素.
主要成果:
- 男性性别 (OR=4.10) 和鼻胃 (NG) 管使用 (OR=8.85) 是CAP的显著预测因素.
- 质子抑制剂 (PPI) 的使用显示出与CAP风险的边界逆相关性 (OR=0.37).
- 增加住院日数 (OR=1.13) 和住院死亡 (OR=3.59) 与CAP患者的终身护理相关.
结论:
- 男性性别和NG管的存在是家庭护理老年患者中CAP的关键风险因素.
- 质子抑制剂可能在这个人群中对CAP有保护作用.
- 终身护理,包括住院和死亡,与老年CAP患者有显著的关联.
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