探索死亡风险因素和部骨折住院后30天内死亡的具体原因
Cheng-Yi Wu1,2, Ching-Fang Tsai3, Yueh-Han Hsu4,5,6
1Department of Orthopedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City, 600, Taiwan.
Scientific reports
|November 11, 2024
概括
台湾的骨骨折死亡风险在2000-2015年期间下降,但在男性和老年患者中仍然较高. 循环系统疾病是导致30天内死亡的主要原因.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关节骨折是一个重大的公共卫生问题,特别是在老年人群中.
- 了解短期死亡率及其决定因素,对于临床管理和资源配置至关重要.
研究的目的:
- 为了评估30天死亡风险和台湾关节骨折后死亡的主要原因.
- 确定与部骨折后早期死亡相关的人口和临床风险因素.
主要方法:
- 使用台湾国家健康保险研究数据库 (2000-2015年) 进行的回顾性队列研究.
- 纳入标准:年龄在50岁以上,首次住院治疗关节骨折的患者.
- 分析包括描述性统计,趋势分析和多变量考克斯回归.
主要成果:
- 总共有285,891名患者被分析;8,505名 (2.98%) 在30天内死亡.
- 死亡风险从2000年的3.76%下降到2015年的2.92%.
- 循环系统疾病 (22%),意外 (18%) 和瘤 (10%) 是导致死亡的主要原因. 高龄,男性性别,较高的查尔森并发症指数,农村居住和较低收入是显著的风险因素.
结论:
- 虽然30天关节骨折的死亡率有所下降,但它仍然是一个问题,特别是在患有并发病的老年男性中.
- 循环系统疾病是部骨折后早期死亡的主要原因.
- 经验丰富的临床医生的及时干预对于改善结果和降低死亡率至关重要.
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