脆弱与中年创伤患者的不良结果有关
Colette Galet1, Colleen Bloeser2, Jacklyn Engelbart1
1Division of Acute Care Surgery, Department of Surgery, USA.
American journal of surgery
|December 27, 2024
概括
脆弱性显著恶化中年创伤患者的结果,增加死亡风险和住院时间. 这些发现凸显了早期干预的必要性,以防止这个年龄段的脆弱.
科学领域:
- 创伤外科 手术 创伤外科
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 脆弱对中年创伤患者 (50-64岁) 的结局的影响还未得到充分研究.
- 虚弱是老年人不良结果的重要预测因素,但其在中年创伤中的作用不太清楚.
研究的目的:
- 评估脆弱对中年创伤患者 (50-64岁) 结局的影响.
主要方法:
- 使用TQIP 2021数据进行回顾性队列研究.
- 使用修改的脆弱指数-5 (mFI-5) 评估的脆弱性.
- 多变量分析调整了人口统计数据,受伤严重程度和其他相关因素.
主要成果:
- 5.1%的中年创伤患者被认为是脆弱的.
- 虚弱与死亡率增加 (OR=2.27),更长时间住院 (MR=1.46) 和重症监护室停留 (MR=1.30) 独立相关.
- 虚弱的患者有更高的退院到更高水平的护理的可能性 (OR=2.11).
结论:
- 脆弱性是影响中年创伤幸存者的结果的关键因素.
- 针对中年成人脆弱性的预防策略是有必要的.
- 早期识别和治疗虚弱可能会改善创伤患者的治疗结果.
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