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大型紧急整体外科手术手术后社会护理的变化
Osamah Niaz1, Abdullah Khalil1, Mohammed Ibrahim Batt1
1Department of General Surgery, Luton & Dunstable University Hospital, Bedfordshire Hospitals NHS Trust, Luton, United Kingdom.
概括
许多接受紧急整形手术 (EGS) 的老年患者没有回家. 高龄是预测退院到养老院的关键因素,影响生活质量.
科学领域:
- 老年医学 老年医学
- 外科手术的结果
- 医疗保健管理的管理
背景情况:
- 紧急一般外科手术 (EGS) 携带高发病率和死亡率的风险.
- 接受EGS治疗的患者在恢复以前的独立程度时经常面临挑战.
- 对于以前独立生活的EGS患者来说,住院或养老院的出院是一个重大问题.
研究的目的:
- 确定导致独立性丧失的因素后EGS.
- 为了确定排放到住宅和养老院的预测因素.
- 了解紧急普通手术后患者的长期结果.
主要方法:
- 在2014-2022年国家紧急拉巴切除术审计 (NELA) 中分析本地数据.
- 包括患者人口统计,ASA分数,入院/出院细节,病理和手术类型.
- 多变量后勤回归用于识别与养老院安置相关的因素.
主要成果:
- 70岁以上的10分之一的患者在EGS后没有回家.
- 需要额外支持的患者年龄大得多 (平均8.6岁).
- 需要额外支持的风险随着年龄的增长而大幅增加,特别是超过85岁;老年患者死亡的可能性更高.
结论:
- 相当数量的老年患者在EGS后没有回家,需要更高的护理水平.
- 年龄是影响排放目的地和支持需求的关键因素.
- 由于生活质量和经济影响,必须在手术前考虑社会和人口因素.
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