简化综合老年病学评估作为ERCP前的老年人查的有用性
Shuzo Nomura1, Kei Saito1, Mariko Fujisawa1
1Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Journal of hepato-biliary-pancreatic sciences
|December 6, 2024
概括
综合老年学评估 (CGA) 有助于预测长期住院的老年患者,这些老年患者接受了内镜逆向胆血管细胞造影 (ERCP). 较高的CGA分数与更长的住院时间相关,为手术前风险评估提供了信息.
科学领域:
- 老年医学 老年医学
- 胃肠病学 胃肠病学
- 医疗程序安全 医疗程序安全
背景情况:
- 内镜逆行胆血管细胞造影 (ERCP) 经常在老年患者中进行,以解决胆道问题.
- 由于潜在的并发症和对日常生活的影响,评估老年人ERCP安全性至关重要.
- 目前对老年人ERCP的程序前评估标准是不充分的.
研究的目的:
- 评估综合老年学评估 (CGA) 在预测接受ERCP的老年患者的结果方面的有用性.
- 在老年人中确定ERCP后长时间住院的风险因素.
主要方法:
- 对接受ERCP的患者的回顾性分析 (2021年10月 - 2023年6月).
- 65岁及以上的患者根据CGA分数 (0,1-4,5-7) 被分为三组.
- 使用单变量和多变量分析来确定长时间住院的风险因素.
主要成果:
- 较高的CGA分数与更长的住院时间有显著的关联 (分别为0,1-4和5-7分数组的中位数为5,8和15天;p < .01).
- 在CGA分数组之间,不良事件发生率或总程序时间没有显著差异.
- 较高的CGA分数被确定为长时间住院的重要风险因素.
结论:
- 综合老年学评估 (CGA) 是接受ERCP的老年患者入院前查的一个有价值的工具.
- CGA可以帮助预测长时间住院,从而实现更好的手术前风险分层和管理计划.
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