在老年人中,肋骨骨折后再录取的负担
Jeff Choi1, Dong Gi Hur2, Lakshika Tennakoon3
1Department of Surgery, Stanford University, California; Department of Biomedical Data Science, School of Medicine, Stanford University, California.
Surgery
|June 16, 2024
概括
对于骨折肋骨的老年人来说,再入院是常见的,通常是由于肺炎或尿路感染等感染. 了解这些再接收原因是改善对这个脆弱人群的护理的关键.
科学领域:
- 老年医学 老年医学
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 老年人 (≥65岁) 的肋骨骨折已知患病率和死亡率.
- 对这一群体的再接收负担和风险研究不足.
- 老年人代表了一个易受骨折后并发症的脆弱群体.
研究的目的:
- 描述肋骨骨折的老年人3个月再入院的负担和病因.
- 为了测试这个假设,再接收是常见的,并与可修改的原因联系在一起.
主要方法:
- 使用国家再录取数据库 (2017年,2019年) 进行回顾性研究.
- 包括65岁以上的成年人住院患有多重肋骨骨折,但不包括重大胸外伤害.
- 评估了3个月的所有原因再入院率和主要诊断,按出院处置分层.
主要成果:
- 2017年,20%的患者在3个月后重新入院;6%的患者在重新入院期间死亡.
- 主要的再接收诊断包括败血症 (通常伴有肺炎/尿路感染),高血压心脏/脏疾病,血胸,肺炎和呼吸衰竭.
- 在2019年观察到的比较率和诊断是相似的;血胸病患者的再入院时间最短.
结论:
- 老年人患有肋骨骨折的再入院是很常见的,即使没有严重的伤害.
- 诸如肺炎,尿道感染和血胸等并发症对再入院有着显著的贡献.
- 进一步的研究应侧重于缓解这些特定的再接收并发症.
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