在术后30天无法返回家园的八代人
Xane D Peters1, Lindsey M Zhang2, Yaoming Liu3
1American College of Surgeons, Division of Research and Optimal Patient Care, Chicago, IL, USA; Loyola University Medical Center, Department of Surgery, Maywood, IL, USA.
American journal of surgery
|September 20, 2024
概括
接受手术的老年人往往很难回到家里. 手术前的跌倒,使用运动辅助器,以及手术后的妄想症显著增加了在手术后的第30天无法返回家园的风险.
科学领域:
- 老年人手术是一门老年手术.
- 外科手术的结果
- 患者的恢复 患者的恢复
背景情况:
- 回家对于老年人手术后的功能独立至关重要.
- 量化未能在手术后的第30天 (POD-30) 返回家园的八十岁老人至关重要.
- 识别老年风险因素可以改善决策和护理质量.
研究的目的:
- 量化80岁以上人群在POD-30生活的非家庭生活率.
- 在非家庭出院的预测模型中评估老年因素.
- 为了确定非家庭排放的特定风险因素.
主要方法:
- 对80岁及以上的患者进行了回顾性队列研究.
- 利用美国外科医生学院国家外科质量改善计划 (ACS NSQIP) 老年手术试点的数据.
- 采用了顺序后勤回归建模来确定POD-30的非家庭居住位置的主要结果.
主要成果:
- 在POD-30的4946名患者中,有19.8%居住在非家庭设施中.
- 手术前的跌倒史 (OR 2.92) 和新的术后压力 (OR 2.66) 显著增加了非家庭生活的几率.
- 其他关键的风险因素包括使用移动辅助工具,代孕母亲签署的同意和术后妄想.
结论:
- 老年人特定的风险因素是出院后结果的关键指标.
- 术前的脆弱性查和有针对性的干预对于手术决策至关重要.
- 积极管理已识别的风险因素可以增强功能独立性和老年手术患者的家庭康复.
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