在急性中风后,年龄特定的共同病态与家庭时间的关联
Raed A Joundi1, James A King2, Jillian Stang3
1Division of Neurology, Hamilton Health Sciences, McMaster University & Population Health Research Institute, Hamilton, ON, Canada.
概括
严重的并发病症显著减少了急性中风患者,特别是年轻患者的回家时间. 这会影响中风后的康复时间和生活质量.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 卒中是导致残疾的主要原因之一.
- 同病症使中风恢复和结果复杂化.
- 年龄是影响中风后护理需求的已知因素.
研究的目的:
- 调查急性中风后的共同发病率和回家时间之间的联系.
- 为了确定年龄是否改变了共患病率和家庭时间之间的关联.
主要方法:
- 一项全省范围的研究分析了中风入院的相关行政数据 (2007-2018).
- 使用查尔森并发症指数 (≥3) 定义了严重的并发症.
- 统计模型评估了伴随性疾病与90天和1年的家庭时间的关联,年龄是潜在的修饰因素.
主要成果:
- 在28672名患者中,有27.7%的患者出现严重的并发症,与减少回家时间有关.
- 与老年患者 (80岁以上) 相比,年轻患者 (<60岁) 的家庭时间负面影响更为明显.
- 诸如心肌梗塞,糖尿病,癌症和痴呆症等疾病与较短的回家时间有显著的关联,特别是在年轻人中.
结论:
- 严重的并发症与急性中风后家庭时间减少有关.
- 与老年人相比,这种联系在年轻的中风患者中明显更强.
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