八代期患者的临床和手术困境与小肠道阻塞
Tomás González-Arestizábal1, Álvaro Morales1, Tania Avayú-Zaliasnik1
1Universidad de Chile, Clinical Hospital, Department of Surgery, Santiago, Chile.
概括
80岁以上接受小肠阻塞手术的老年患者面临更高的医学并发症风险和更长的住院时间. 这导致八十岁以上的人的医疗保健费用与年轻患者相比大幅增加.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 卫生经济学 卫生经济学
背景情况:
- 小肠阻塞 (SBO) 是一个重要的紧急医疗保健挑战.
- 在SBO患者的并发症加剧了发病率和死亡率,增加了医疗保健支出.
- 有限的拉丁美洲数据存在于SBO管理的术后结果和成本的比较.
研究的目的:
- 为了比较80岁及以上的患者与80岁以下的患者的外科病死亡风险和SBO治疗成本.
- 确定这些年龄组之间的结果和财务影响的具体差异.
主要方法:
- 在智利大学临床医院 (2014-2017) 手术治疗的218名SBO患者的回顾性分析.
- 排除仅接受医疗治疗的患者.
- 应用参数统计数据,其误差率为5%和置信区间为95%.
主要成果:
- 八代人 (18.8%的队列) 显示出明显更高的整体并发症率 (46.3%vs24.3%).
- 八十岁以上的人群中医疗并发症的发生率更高 (39.0%对22.5%),而手术并发症的发生率相似.
- 八代人体验了更长的住院时间 (17.4 vs 11.0 天) 和更高的成本 (9,555 美元 vs 4,214 美元).
结论:
- 在80岁及以上的患者中,SBO的手术治疗与增加的医疗并发症有关.
- 老年患者需要更长的住院时间,并承担更高的治疗费用.
- 年龄是影响SBO手术结果和资源利用的关键因素.
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