在老年人中出现并发性跌倒和COVID-19感染的病例系列
Marisa-Nicole Zayat1, Micah Vander Griend1, Nathan Flescher1
1Department of Trauma Services, University of Kansas School of Medicine-Wichita, Wichita, KS.
患有COVID-19和摔倒伤害的老年创伤患者面临严重的并发症和高死亡率. 在这个脆弱的人群中,COVID-19是关键的并发症,需要迅速识别和管理.
科学领域:
- 老年创伤的治疗方法
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 有限的研究存在于老年创伤患者与同时COVID-19和摔倒伤害.
- 了解这一人口群体的结果对于临床管理至关重要.
研究的目的:
- 描述患者特征和老年人患有跌倒相关伤害和COVID-19的医院结果.
主要方法:
- 对65岁及以上的患者的回顾性图表审查,这些患者被录取到1级创伤中心.
- 纳入标准:2020年3月至2021年3月期间的跌伤和COVID-19诊断.
主要成果:
- 17%的患有摔倒伤害的老年创伤患者检测出COVID-19阳性 (n=21).
- 观察到高率的并发病 (高血压,糖尿病) 和呼吸系统症状.
- 并发症包括急性缺氧呼吸衰竭 (67%) 和肺炎 (43%);住院死亡率为19%.
结论:
- COVID-19显著增加了老年创伤患者的并发症和死亡率.
- 在这个人群中,COVID-19应该被认为是严重的并发症.
- 早期识别和管理对于改善患者的治疗结果至关重要.
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