在接受紧急关节骨折手术的老年患者中,术后过敏妄想和重大并发症之间的关联:一项大型队列研究
Mingyang Sun1, Wan-Ming Chen2,3, Szu-Yuan Wu2,3,4,5,6,7,8,9,10
1Department of Anesthesiology and Perioperative Medicine, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.
Geriatrics & gerontology international
|May 22, 2024
概括
在老年关节骨折患者中,手术后的过度狂妄症显著增加了30天和90天内的重大并发症. 早期的妄想预防和管理对于更好的患者结果至关重要.
科学领域:
- 老年医学 老年医学
- 手术并发症 手术并发症
- 神经科学是一个神经科学.
背景情况:
- 接受紧急关节骨折手术的老年患者有很高的术后并发症风险.
- 手术后多动性妄想是一种公认的,但在这个人口群体中经常被管理不善的疾病.
研究的目的:
- 为了研究术后多动性妄想和紧急部骨折手术后老年患者的重大并发症之间的关联.
- 为了量化30天和90天并发症的风险,在患有过度活动妄想的患者中.
主要方法:
- 一项队列研究包括接受紧急关节骨折手术的老年患者 (≥65岁).
- 倾向性得分匹配用于比较患有和没有术后过敏 Delirium 的患者.
- 对混因素进行控制的后勤回归分析,以评估30日和90天与重大并发症的关联.
主要成果:
- 在匹配后,分析了13,590名患者 (每组6795人).
- 手术后的过敏妄想与30天后的并发症 (急性功能衰竭,肺炎,败血症,中风;ORs 1.64-2.39) 的风险显著增加.
- 痴呆症患者也有更高的90天并发症率,包括死亡率,急性功能衰竭,肺炎,败血症和中风.
结论:
- 手术后多动性妄想是老年关节骨折患者重大并发症和死亡率的重要预测因素.
- 有效的妄想预防和管理策略对于减轻术后风险至关重要.
- 这些发现强调了需要加强警和针对这种脆弱人群的痴呆症进行有针对性的干预.
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