在老年痴呆患者中使用结肠镜:国家匹配队列分析中的特征,并发症和费用
Faris Shweikeh1, Gordon Hong2, Kathleen Rogers3
1Department of Internal Medicine, Cleveland Clinic Akron General, 1 Akron General Ave., Akron, OH, 44307, USA. shweikf@ccf.org.
接受结肠镜检查的老年痴呆患者也出现了类似的手术相关并发症. 然而,他们经历了增加的一般并发症,更长的住院时间和更高的费用,需要仔细评估患者.
科学领域:
- 老年学是一门学科.
- 胃肠病学 胃肠病学
- 神经学 神经学
背景情况:
- 全球老年人口正在扩大,导致痴呆症等慢性疾病的增加.
- 痴呆症患病率需要了解这一人口群体的医疗保健利用情况和结果.
研究的目的:
- 分析老年痴呆患者中结肠镜的使用情况.
- 为了比较患有痴呆症和没有痴呆症的患者的结肠镜相关和一般健康结果.
主要方法:
- 一项基于人口的研究,使用2019年全国住院患者样本 (NIS).
- 通过ICD-10代码识别60岁以上的痴呆症患者进行结肠镜检查.
- 员工倾向得分匹配和统计测试 (McNemar,签名等级总和,配对的t测试) 用于结果比较.
主要成果:
- 匹配分析 (每组4176例) 显示,痴呆症患者的结肠镜检查并发症没有增加.
- 痴呆症患者的脏/AKI,肺炎,脑血管事故和败血症的发病率较高.
- 痴呆症患者的例行出院次数较少,住院时间较长,医院费用增加.
结论:
- 老年痴呆患者的结肠镜显示了类似的手术相关风险,但整体发病率更高.
- 进行结肠镜检查的决定需要进行多因素评估,考虑个别患者的病史.
- 谨慎的手术前评估对于优化痴呆症患者的治疗结果至关重要.
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