非老年人结肠镜的安全性和可行性:系统性审查,元分析和元回归分析
Shahab Hajibandeh1, Shahin Hajibandeh2, Azel Regan1
1Department of General and Colorectal Surgery, University Hospital of Wales, Cardiff, UK.
结肠镜检查对于具有良好表现状态的非老年人 (90岁及以上的患者) 是安全且可行的. 仅仅是年龄不应该阻止提供这个重要的程序,当指示时.
科学领域:
- 胃肠病学 胃肠病学
- 老年医学 老年医学
- 医疗程序 医疗程序
背景情况:
- 结肠镜是结肠直肠疾病的关键诊断工具.
- 在极老年患者 (≥90岁) 中,结肠镜检查的安全性和可行性需要进行具体评估.
研究的目的:
- 评估90岁及以上患者进行结肠镜检查的安全性和可行性.
- 为了比较nonagenarians和年轻成年人 (50-89岁) 之间的并发症率和结果.
主要方法:
- 根据PRISMA标准进行了系统审查和元分析.
- 包括的研究报告了大肠镜检查结果在90岁以上的患者.
- 使用比例和直接比较元分析模型来量化风险并比较结果.
主要成果:
- 分析了7项涉及1304名患者 (1342例结肠镜) 的研究.
- 并发症率 (肠道准备,程序,30天) 和死亡率很低,与50-89岁的患者相比.
- 观察到高水平的适当的肠道准备 (81.3%) 和结肠镜完成 (92.1%).
- 在14.3%的病例中检测到结肠直肠癌,导致65.9%的病例进行干预.
结论:
- 结肠镜检查对于具有良好的表现状况的精选非老年人来说是一种安全和可行的程序.
- 有证据支持在必要时向非老年人提供结肠镜检查,因为仅仅年龄不是一个禁忌.
- 该程序有助于及时诊断和干预老年人的结直肠疾病.
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