八代人的急性胆管炎的临床特征和预后:一项前性比较研究
Mustafa Comoglu1, Fatih Acehan1, Enes Seyda Sahiner1
1Department of Internal Medicine, Ankara Bilkent City Hospital, Ankara 06800, Turkey.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
患有急性胆管炎的八分生殖器患者在内镜逆行胆管瘤造影 (ERCP) 后表现出与年轻患者相似的结果. 高龄本身并不能预测不良结果,但特定的风险因素需要密切监测.
科学领域:
- 胃肠病学和肝病学
- 老年医学 老年医学
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 关于八十岁以上 (≥80岁) 人群中急性胆管炎的管理和结果的数据有限.
- 这项研究涉及老年患者的临床特征和内镜逆行胆血管细胞造影 (ERCP) 相关并发症.
研究的目的:
- 为了比较八十岁患者和年轻的老年患者 (65-79岁) 之间急性胆道炎的临床特征.
- 在这些群体中评估ERCP相关的并发症和住院死亡率.
- 确定患有急性胆道炎的老年患者住院死亡的独立风险因素.
主要方法:
- 展望性研究包括250名年龄≥65岁的患者,分为八十岁 (≥80) 和非八十岁 (65-79) 组.
- 结肠炎特征,ERCP并发症和住院死亡率的比较.
- 多变量分析以确定死亡率的独立风险因素.
主要成果:
- 八代 (34.8%) 与非八代 (65.2%) 相比,严重疾病和ICU入院率更高.
- 两组之间在住院死亡率或与ERCP相关的并发症方面没有发现显著差异.
- 恶性病因,低albuminemia和qSOFA评分≥2是医院死亡的独立风险因素.
结论:
- 80岁以上的年龄不是急性胆道炎患者接受ERCP的不良结果的预测因素.
- 对于患有急性胆道炎的八十岁人来说,ERCP是一种安全有效的程序.
- 密切监测对于患有低albuminemia,恶性病因或qSOFA评分≥2.2的老年患者至关重要.
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