与一般人口相比,老年ICU患者的长期条件死亡率
Anna Aronsson Dannewitz1, Bodil Svennblad2, Karl Michaëlsson2
1Anaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden. anna.aronsson@uu.se.
Critical care (London, England)
|November 15, 2024
概括
老年重症监护室 (ICU) 患者在第一年幸存下来,死亡率与一般人群相似,特别是当考虑基线并发症时. 然而,特定的诊断,如急性-慢性呼吸衰竭,与更高的长期风险有关.
科学领域:
- 关键护理医学 关键护理医学
- 老年医学 老年医学
- 流行病学 流行病学
背景情况:
- 评估老年重症监护室 (ICU) 患者的长期存活率需要了解先前存在的疾病和危急疾病之间的相互作用.
- 伴随性疾病显著影响到ICU的老年人的预后.
研究的目的:
- 评估老年患者 (≥55岁) 首次入院ICU后的长期死亡风险.
- 将这些患者的生存概率与一般人群中年龄和性别匹配的个体进行比较.
主要方法:
- 分析了来自瑞典重症监护病房的140,008名55岁以上的患者.
- 死亡率与一般人口进行了比较,具有1年的基准值,根据年龄,性别和基线并发病率进行了调整,使用Cox回归.
主要成果:
- 在ICU入院后的第一年生存的患者在伴随性疾病调整后显示了减弱的死亡风险增加 (HR,1.03).
- 年龄≥75岁的子组在第一年后的死亡率与一般人群 (HR,0.98) 相似.
- 急性慢性呼吸衰竭入院与第一年后持续增加的死亡风险 (调整后HR,1.47) 有关.
结论:
- 老年ICU幸存者通常会回到与一般人群相似的死亡率,特别是当基线并发症被考虑时.
- 接受ICU治疗的诊断是影响长期死亡率的关键因素,某些疾病带来更高的风险.
- 这些发现强调了在评估老年ICU患者的长期结果时考虑特定诊断的重要性.
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