在老年创伤患者的非计划性再输管的入院前风险因素的分析
Anna Mary Jose1, Kartik Prabhakaran1, Aryan Rafieezadeh1
1Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
American journal of surgery
|August 4, 2024
概括
在老年创伤患者中,无计划的再灌管 (URI) 与较高的死亡率和并发症有关. 关键的危险因素包括年龄,吸烟,慢性呼吸道疾病,酒精使用和抗凝剂使用.
科学领域:
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
- 关键护理医学 关键护理医学
背景情况:
- 在老年创伤患者中,无计划的再灌管 (URI) 存在重大风险.
- 确定URI的入院前风险因素对于改善这个脆弱人群的结果至关重要.
研究的目的:
- 在老年创伤患者中确定与无计划再输液 (URI) 相关的入院前风险因素.
- 评估URI对死亡率,并发症和逗留时间的影响.
主要方法:
- 对TQIP数据库 (2017-2019) 的回顾性分析,涉及被直管的老年创伤患者.
- 使用后勤回归来确定URI的入院前风险因素.
- 患者被分为两组:成功抽管的患者和需要URI的患者.
主要成果:
- 在20.2%的患者中,发生了非计划性再灌管 (URI).
- URI与显著更高的死亡率 (13.7%与8.1%) 相关,增加了住院并发症,以及更长的住院和重症监护室停留时间.
- 尿路阻塞因子的入院前风险因素包括晚年,吸烟,慢性功能衰竭 (CRF),慢性阻塞性肺病 (COPD),酒精使用,功能依赖和抗凝剂使用.
结论:
- 老年创伤患者患有伴随疾病,如年龄,吸烟,CRF,COPD,酒精使用,功能依赖和抗凝剂使用,面临非计划性再灌输 (URI) 的风险较高.
- 无计划的再灌管 (URI) 与不良结果有关,包括增加死亡率,并发症和长时间住院.
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