越来越大的问题:美国中年成人创伤患者的脆弱性
Colleen Bloeser1, Jacklyn Maye Engelbart2, Patrick Ten Eyck3
1The University of Iowa Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA.
概括
在中年和老年人中,脆弱性正在增加,增加了他们跌倒和糟糕结果的风险. 病查应扩展到中年人群,以减轻这些风险.
科学领域:
- 创伤外科手术是什么
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 意外跌倒是成年人因受伤而入院的主要原因.
- 脆弱性对创伤患者的跌倒风险和不良结果有显著的贡献.
- 在中年成年人中,脆弱的发病率未得到充分研究,目前的跌倒查指南排除了它们.
研究的目的:
- 评估美国中年 (50-64岁) 和老年 (65岁以上) 创伤患者的虚弱发病率.
- 评估这些年龄组内随着时间的推移,虚弱发生率的趋势.
主要方法:
- 对创伤质量改善计划数据库 (2012-2021) 的回顾性分析.
- 使用五项修改的脆弱指数评估脆弱性.
- 用Poisson回归来确定调整后的发病率比率 (IRR).
主要成果:
- 中年创伤患者的虚弱发病率从2.4% (2012) 增加到5.1% (2021) (调整后的年度IRR为1.08).
- 老年创伤患者的虚弱发病率从6.4%上升到14.7% (调整后的年内射率为1.10).
结论:
- 在中年和老年人创伤人群中,脆弱性正在增加.
- 这些不断增加的脆弱率意味着意外跌倒,发病率和死亡率的风险增加.
- 应对中年和老年人实施倒查,并研究脆弱性发病延迟.
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