多中心研究检查了创伤性内出血的时间趋势,超过六年,使用关节点回归
Timbre Backen1, Kristin Salottolo2,3,4, David Acuna5
1Trauma Services Department, Swedish Medical Center, Englewood, Colorado, USA.
Neurotrauma reports
|October 23, 2024
概括
创伤性内出血 (tICH) 的入院病例正在增加,特别是在患有更多并发症和跌倒相关伤害的老年人中. 虽然严重程度和神经外科干预仍然稳定,但没有.
科学领域:
- 创伤手术和重症监护
- 神经科学和神经病学 神经科学和神经病学
- 老年医学和流行病学.
背景情况:
- 美国人口老龄化正在改变创伤伤害的格局.
- 有限的研究存在于创伤性内出血 (tICH) 的演变模式.
- 了解这些趋势对于调整创伤护理策略至关重要.
研究的目的:
- 分析TICH的发病率,人口统计,严重程度,管理和结果的时间变化.
- 在六年时间内调查患者并发症和受伤机制的趋势.
- 为了识别患者情绪的变化,如死亡率和宿舍护理.
主要方法:
- 对6个美国一级创伤中心 (从2016年7月至2022年6月) 的67,514例创伤病例进行了回顾性分析.
- 使用ICD-10诊断码识别tICH病例.
- 连接点回归分析,以评估两年间的百分比变化 (BPC) 和随时间的线性趋势.
主要成果:
- 在2019年7月之前,tICH招生比例每两年增加2.6%,然后稳定下来.
- 老年患者 (≥65岁) 和与跌倒相关的伤害在两年内显著增加.
- 在并发症中,高血压,功能依赖和慢性抗凝剂使用增加;住院死亡率下降,但住院出院显著增加.
结论:
- 创伤性内出血的入院病例正在增加,这是由老龄化人口带来的,伴随着更多的并发症和跌倒.
- 创伤性脑损伤严重程度和神经外科治疗率一直保持一致.
- 对临终关怀的显著转变表明,在创伤管理中对息服务的需求日益增加.
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