在患有骨转移的患者中与出院目的地相关的因素
Hanako Himematsu1,2, Yukiyo Shimizu3, Tami Yuhara1
1Department of Rehabilitation Medicine, University of Tsukuba hospital, Tsukuba 305-8576, Japan.
Medicina (Kaunas, Lithuania)
|June 27, 2024
概括
确定了影响骨转移晚期癌症患者出院目的地的因素. 在入院时的功能行走类别 (FAC),特别是1.5分,对于预测出院至关重要,这突显了步态评估的重要性.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 康复医学 康复医学 康复医学
背景情况:
- 出院目的地对晚期癌症患者的生活质量产生重大影响.
- 骨转移通常导致疼痛和活动限制,需要改变生活方式.
- 对影响骨转移患者出院目的地的因素进行的研究有限.
研究的目的:
- 确定与诊断出骨转移的患者的出院目的地相关的因素.
- 在这个患者群体中建立家庭出院的预测标记.
主要方法:
- 在2015年4月至2020年3月期间入院的278名骨转移患者的回顾性研究.
- 分析包括出院目的地,骨相关事件 (SREs),主要瘤部位,转移位置,功能行走类别 (FAC),年龄和住院时间.
- 双项逻辑回归被用来比较家庭与非家庭放电组.
主要成果:
- 在278名患者中,有142人被送回家,89人到非家居地点,47人死亡.
- 脊髓压缩 (SCC) (OR 3.37),高血症 (OR 6.84) 和入院FAC (OR 0.45) 与出院目的地有显著的相关性.
- 一个入院的FAC切断值为1.5预测了家庭排放,AUC为0.79 (灵敏度77.5%,特异性68.5%).
结论:
- 已经确定了影响骨转移患者出院目的地的关键因素.
- 1.5的功能行走类别 (FAC) (需要在平面行走时防止跌倒的一次辅助) 表明适合在家出院.
- 在入院时评估步行能力 (FAC) 对于预测患者的结果和出院计划至关重要.
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