在患有败血症的老年患者中,出院后的功能结果
Sanyu Ge1, Ling Zha1, Aiko Tanaka2,3
1Division of Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, 565-0871, Japan.
Critical care (London, England)
|August 29, 2024
概括
在住院之前需要更高护理的败血症患者在出院一年后面临死亡风险增加的风险. 这凸显了败血症前健康状况在预测败血症患者结果方面的重要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 败血症患者出院后的预后非常重要.
- 在大量人群中,关于败血症前的健康状况和败血症预后的研究有限.
- 了解败血症前的护理需求对于改善患者的治疗结果至关重要.
研究的目的:
- 调查预败血症护理需求水平对护理需求变化的影响.
- 检查败血症患者的败血症前护理需求和退院一年后死亡率之间的关联.
- 分析基线护理需求与出院后一年的结果之间的关系.
主要方法:
- 在日本进行基于人口的回顾性队列研究 (2014年4月至2022年3月).
- 包括1,491,608个人;分析了17,648名败血症患者.
- 分类住院前护理需求 (没有,支持,1-5级);使用Cox比例危险模型评估结果.
主要成果:
- 较高的基线护理需求与出院后一年因任何原因增加的死亡率有显著的相关性.
- 死亡危险比率:支持/第1级 (1.05),第2-3级 (1.46),第4-5级 (1.92).
- P趋势<0.001表明,护理需求升级与死亡风险之间存在显著的关联.
结论:
- 败血症患者在出院后的一年内出现了较高的护理需求和死亡率.
- 在老年败血症患者中,更高的基线护理需求强烈预测了一年全因死亡率.
- 败血症前的护理需求水平是败血症患者预后的重要预测因素.
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