老年患者的脆弱性得分和手术期间体温变化之间的关系:前性观察研究
Fatma Nur Arslan1, Recai Dagli1, Güzin Ceran1
1Department of Anaesthesiology and Reanimation, Kirşehir Ahi evran University Faculty of Medicine, Kirşehir, Turkey.
Medicine
|October 28, 2024
概括
近一半的老年整形外科手术患者经历了无意的外科手术期间低温 (IPH). 这项研究发现,患者脆弱性或年龄组与IPH频率之间没有显著的关联.
科学领域:
- 老年医学 老年医学
- 手术患者的治疗结果
- 麻醉学 麻醉学
背景情况:
- 脆弱性得分越来越多地用于评估老年患者的手术风险,重点是按时间年龄计算的生理状态.
- 意外的外科手术期间低温 (IPH) 是大手术中常见的并发症,可能会增加发病率和死亡率.
- 了解影响IPH的因素对于优化老年手术患者护理至关重要.
研究的目的:
- 调查患者脆弱性,年龄组和重大骨科手术中无意中外科手术期间低温 (IPH) 的发生率之间的关系.
- 为了分析手术期间的体温变化与脆弱性和年龄有关.
主要方法:
- 对65岁及以上接受重大骨科手术的患者进行评估.
- 在手术前和手术期间每5分钟测量耳体温,以计算温度变化 (Δn).
- 使用加拿大健康与衰老研究-临床脆弱度量表 (CSHA-CFS) 将患者分类为脆弱性组 (F1,F2,F3) 和年龄组 (A1,A2,A3). IPH被定义为体温<36°C.
主要成果:
- IPH的总体发生率为44.0% (n=149).
- 在脆弱性组 (P=0.054) 或年龄组 (P=0.145) 之间没有观察到温度变化 (Δ35°C) 的统计学上显著差异.
- 低温频率在脆弱性组 (P=0.546) 或年龄组 (P=0.065) 中没有显著差异.
结论:
- 在接受重大骨科手术的老年患者中,无意中发生的周围手术性低温 (IPH) 发生的频率很高.
- 根据CSHA-CFS的评估,患者的脆弱性和年龄组没有被发现是该队列中IPH发病率的显著预测因素.
- 可能需要进一步的研究来确定在这个脆弱的患者群体中IPH的其他促成因素.
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