老年创伤的医院经验对长期生存的影响
Manuel Castillo-Angeles1, Cheryl K Zogg2, Molly P Jarman3
1Division of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA.
American journal of surgery
|February 2, 2025
概括
医院中老年创伤比例 (GTP) 的较高与老年创伤患者的更好的长期存活相关. 尽管情况有所改善,但死亡风险在受伤后长达一年仍然存在.
科学领域:
- 老年人创伤护理 创伤护理
- 医疗保健服务研究 医疗服务研究
- 创伤外科手术的结果
背景情况:
- 老年创伤比例 (GTP) 与老年患者的住院死亡率有关.
- 了解GTP对长期生存的影响对于老年创伤护理至关重要.
研究的目的:
- 研究医院老年创伤比例 (GTP) 与老年创伤患者的长期存活率之间的关联.
- 为了确定更高的GTP是否会影响超过30天的死亡率.
主要方法:
- 对佛罗里达州老年创伤患者的医疗保险住院患者索赔 (2014-2015) 的回顾性分析.
- 医院根据GTP (老年创伤患者/成人创伤总量) 分类为三级.
- 多变量回归分析了30,90,180,365天的死亡率.
主要成果:
- 包括65,763名老年创伤患者.
- 与最低GTP三位数相比,最高GTP三位数的患者在90天 (OR 0.90),180天 (OR 0.90) 和365天 (OR 0.91) 的死亡率降低.
- 对于90,180和365天死亡率观察到显著的关联.
结论:
- 老年创伤比例 (GTP) 的增加与老年创伤患者的长期生存结果的改善有关.
- 老年创伤患者的死亡风险在受伤后的12个月内仍然很高.
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