在老年患者手术后出院的手术前危险因素
Danielle Abbitt1, Kevin Choy1, Thomas N Robinson1,2
1Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.
The American surgeon
|May 24, 2024
概括
在接受手术的老年人中,手术前的移动性问题和功能依赖性增加了出院到医疗机构的风险. 多学科团队的早期干预可以减轻这种风险.
科学领域:
- 老年人手术是一项老年人手术.
- 在外科手术后的护理
- 患者的治疗结果.
背景情况:
- 老年手术验证计划 (GSV) 旨在改善75岁及以上患者的手术结果.
- 这项研究评估了预测该人群排放目的地的术前因素.
研究的目的:
- 在老年外科手术患者中确定退院 (例如,熟练护理机构,急性康复) 的术前危险因素.
- 为改善手术后功能恢复和回家的策略提供信息.
主要方法:
- 在GSV计划 (2018-2022) 中进行住院手术的75岁以上432名患者的回顾性审查.
- 评估了手术前的因素:跌倒史,使用移动辅助器,住房状况,功能状况,认知和营养.
- 结果:排放到家庭与设施.
主要成果:
- 90%的患者在家出院,10%的患者在医疗机构出院.
- 设施排放的重要预测因素包括:跌倒史 (OR 2.95),使用移动辅助工具 (OR 6.0),功能依赖 (OR 4.83) 和独自生活 (OR 2.57).
结论:
- 在老年人手术患者中,手术前的运动限制和功能依赖是退院的关键预测因素.
- 这些可修改的因素表明了多学科干预措施的机会,以减少安置设施并改善家庭康复.
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