查尔森并发症指数对妄症结果的影响
Palanipriya Kalyan1, Manisha Parulekar1
1Department of Geriatrics, Hackensack University Medical Center, Hackensack, USA.
Cureus
|October 24, 2024
概括
查尔森并发症指数 (CCI) 有效地对住院的老年痴呆症患者的风险进行分层. 严重的CCI得分与更长的住院时间和增加的住院死亡率相关,有助于预后.
科学领域:
- 老年病的医生 老年病的医生
- 内部医学 内部医学
- 医疗保健管理的管理
背景情况:
- 痴呆症是住院老年人的常见和严重的疾病,与糟糕的结果有关.
- 现有的妄想风险分层模型是有限的.
- 查尔森并发症指数 (CCI) 是一种广泛使用的疾病负担指标.
研究的目的:
- 评估查尔森并发症指数 (CCI) 对老年痴呆症住院患者风险分层的有效性.
- 分析CCI得分与这一群体的关键医疗保健结果之间的关联.
主要方法:
- 对214名被诊断患有妄想症的老年患者进行了回顾性队列研究.
- 根据CCI严重性得分将患者分组.
- 分析的结果包括全因住院患者死亡率,住院时间,30天再入院和出院目的地.
主要成果:
- 严重CCI类别的患者 (得分≥5) 住院时间明显长 (10天长,p=0.011).
- 严重的CCI得分与增加的住院死亡率 (OR4.566,p=0.035) 有着强烈的关联,患者死亡的可能性是4.6倍.
- 在CCI集团之间没有观察到排放目的地或30天再接收风险的显著差异.
结论:
- 较高的CCI得分与老年痴呆症患者住院时间的延长和住院死亡率的增加有关.
- CCI可以作为一个有价值的工具,用于预后和指导目标,为患有妄想症的患者进行护理讨论.
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