患有急性损伤的老年患者的死亡率,接受连续置换疗法:年龄是危险因素吗?
Ji Hye Kim1, Sang Hun Eum1, Hyoung Woo Kim2
1Division of Nephrology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Kidney research and clinical practice
|June 27, 2024
概括
高龄不是急性损伤 (AKI) 的老年患者的死亡风险因素,需要持续置换疗法 (CRRT). 这些发现表明,仅仅年龄不应该影响重病AKI患者的治疗决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 关键护理医学 关键护理医学
- 老年病的医生 老年病的医生
背景情况:
- 晚年和老年患者急性损伤 (AKI) 需要持续置换疗法 (CRRT) 的结局之间的关联仍在争论中.
- 这项研究调查了年龄对死亡率的影响,并确定了这种脆弱患者群体中的预测因素.
研究的目的:
- 评估晚年对接受CRRT的老年AKI患者死亡率的影响.
- 在这个队列中确定28天和90天死亡率的预测因素.
主要方法:
- 对接受CRRT的480名老年AKI患者的回顾性分析.
- 患者被分为年轻人 (65-74岁) 和老年人 (≥75岁) 两组.
- 用多变量考克斯回归和倾向得分匹配来分析年龄影响和死亡率预测因素.
主要成果:
- 预测28天死亡率的预测因素包括尿液输出,手术和动脉内气球的使用.
- 90天死亡率的预测因素包括缺血性心脏病和呼吸机使用.
- 较年长的老年人群 (≥75岁) 与较年轻的老年人群相比,28天或90天死亡风险没有显著增加.
结论:
- 高龄不是接受CRRT的老年AKI患者死亡的独立风险因素.
- 对于患有需要CRRT的AKI重症老年患者的治疗决策不应仅仅基于晚年.
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