在人工泌尿位放置后,男性中认知和手动敏捷性障碍的患病率
Jacqueline Zillioux1, Fabian T Camacho2, Roger T Anderson2
1Department of Urology, University of Virginia Health System, Charlottesville, Virginia.
The Journal of urology
|May 24, 2024
概括
许多男性在人工尿道关节 (AUS) 植入后发展出认知或手动技巧问题. 这些情况增加了并发症的风险,突出显示了持续监测患者的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 老年医学 老年医学
- 医疗器械研究 医疗器械研究
背景情况:
- 人工泌尿关节 (AUS) 植入需要足够的认知和手工灵巧才能安全有效地使用.
- 植入后的认知和敏捷性损伤可能会影响设备功能和患者安全.
研究的目的:
- 为了确定在AUS植入后男性的认知和/或手动敏捷性障碍的发生率.
- 调查这些疾病与随后的植入物相关并发症之间的关联.
主要方法:
- 使用SEER-Medicare链接数据库 (2000-2018年) 进行的回顾性队列研究.
- 包括66岁以上的前列腺癌患者接受AUS安置的男性,但不包括先前诊断或入学不足的男性.
- 利用ICD和CPT代码来识别认知/敏捷性障碍和并发症;用于协会分析使用Cox比例危险建模.
主要成果:
- 1560名男性符合入选标准;平均年龄为73岁.
- 认知障碍的估计15年发生率为44%,手工敏捷性障碍为17%.
- 认知障碍 (有或没有手动灵巧问题) 与任何并发症的风险增加有关,但并不是严重的并发症.
结论:
- 在AUS植入后,大量患者经历认知和/或手动灵敏度障碍.
- 这些发现强调了对患有人工泌尿器关节的患者进行警,长期监测的重要性.
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