脑卒中前的脆弱性和皮肤内镜胃口管插入后的结果
Karan Gupta1, Eleanor Williams2, Elizabeth A Warburton1
1Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0QQ, UK.
Healthcare (Basel, Switzerland)
|August 29, 2024
概括
脑卒中前的脆弱性显著增加了皮肤内镜胃口管 (PEG) 插入后一年内死亡的风险. 这一发现有助于对需要PEG养的中风患者的临床决策.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 胃肠病学 胃肠病学
背景情况:
- 虚弱性在中风患者中普遍存在,并影响疾病和治疗.
- 有限的研究存在于皮肤内镜胃口术 (PEG) 后的结局上的脆弱的影响.
研究的目的:
- 为了研究中风前的脆弱性和PEG插入后的一年死亡率之间的关联.
主要方法:
- 对于接受PEG插入的中风患者 (2019年3月-2021年2月) 计算了虚弱指数 (FI).
- 记录了一年死亡率,PEG后肺炎和出院目的地.
主要成果:
- 29名患者中有11名 (37.9%) 在一年内死亡.
- 更高的FI与增加的一年死亡率显著相关 (aOR为每0.1FI增加1.39).
- 在脆弱性和PEG后肺炎之间没有发现显著的关联.
结论:
- 脑卒中前的脆弱性是PEG插入后增加一年死亡率的预测因素.
- 这些发现可以为需要PEG养的中风患者的临床决策提供信息.
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