老年人急性尾炎:全国性的回顾性分析
Malkiely Gal1, Paran Maya2, Kobo Ofer3
1Division of Surgery, Hillel Yaffe Medical Center, Hadera 38100, Israel.
Journal of clinical medicine
|April 13, 2024
概括
老年人患上复杂尾炎和相关感染的几率更高. 伴随性疾病对不同年龄组的感染风险有不同的影响,这突出了老年尾炎护理的独特挑战.
科学领域:
- 老年医学 老年医学
- 外科手术的结果
- 传染病流行病学 传染病流行病学
背景情况:
- 在60岁以上的个人中,急性尾炎 (AA) 尚未得到充分研究.
- 伴随性疾病可能会影响老年人的AA表现和结果.
研究的目的:
- 在60岁以上的患者中评估AA特征.
- 评估并发症对老年患者AA结局的影响.
主要方法:
- 美国国家住院患者样本 (2016-2019) 的回顾性分析.
- 60岁以下和60岁以上的患者之间的AA特征的比较.
主要成果:
- 老年患者 (27.5%) 的复杂尾炎,表面伤口感染,全身感染和死亡率较高.
- 伴随性疾病在年轻患者和老年患者中呈现出不同的感染风险因素.
- 心力衰竭和肥胖是老年人感染的重要危险因素.
结论:
- 这项研究揭示了老年人中AA的发病率高于以前报告的.
- 伴随性疾病对AA的老年人感染风险有不同的影响.
- 老年尾炎需要根据年龄相关的风险因素进行量身定制的治疗策略.
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