骨科创伤患者入院的百岁老年患者的结果
Andrew P Dekker1, Prateek A Saxena1, Emma Westwood2
1University Hospitals of Derby and Burton Foundation Trust, United Kingdom.
概括
接受骨科创伤手术的老年患者 (100+) 显示高生存率并返回家园. 这挑战了对极度老年人的不良结果的假设,支持对这一人口群体进行手术干预.
科学领域:
- 老年医学 老年医学
- 创伤外科 手术 创伤外科
- 整形外科 整形外科 整形外科
背景情况:
- 全球人口正在老龄化,越来越多的老年人生活在多种并发病中.
- 骨科创伤后100岁及以上的患者的治疗结果尚未确立,尽管预期结果不佳.
研究的目的:
- 为了评估100岁及以上因骨科创伤而入院的患者的结果.
- 提供关于这种极端年龄组的生存,并发症和功能恢复的证据.
主要方法:
- 一项针对100岁及以上患者的前性队列研究,这些患者被录取到创伤和骨科部门.
- 2008年至2022年间收集的数据包括停留时间,生存率,并发症和住宿变化.
主要成果:
- 包括80名患者 (平均年龄为101岁),90%的患者在急性住院后幸存下来.
- 平均存活时间为4.2年,大多数患者返回他们以前的住所.
- 平均停留时间为17天,一些患者在手术后存活超过5年.
结论:
- 100岁及以上的患者在骨科创伤后的生存率很高.
- 这些发现支持这个年龄组的外科治疗,并可以为患者和家人的死亡风险预期提供信息.
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