患有痴呆症或不患痴呆症的癌症老年患者的住院模式
Zhigang Xie1, Hanadi Y Hamadi, Elissa Barr
1Department of Public Health, University of North Florida, 1 UNF Dr, Jacksonville, FL 32224.
The American journal of managed care
|February 20, 2025
概括
患有痴呆症的老年癌症患者经历了更多的无计划住院,包括紧急住院和更长的住院时间,需要为这个脆弱人群量身定制的护理策略.
科学领域:
- 老年瘤学 老年瘤学
- 神经科学是一个神经科学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 癌症和痴呆症在老年人中很常见,这带来了复杂的护理挑战.
- 癌症患者同时患有痴呆症的住院模式尚不清楚.
研究的目的:
- 研究老年癌症患者痴呆症和住院治疗结果之间的关联.
- 为了确定癌症患者和没有痴呆症的住院模式的差异.
主要方法:
- 2016-2019年全国住院患者样本数据的横截面分析.
- 研究了774,812名65岁以上癌症患者的出院情况.
- 使用多变量回归模型来评估痴呆症对住院治疗结果的影响.
主要成果:
- 8.7%的老年癌症患者患有并发性痴呆症,患病率因癌症类型而异 (例如,非黑色素瘤皮肤癌的患病率为18.9%).
- 患有痴呆症的癌症患者在急诊室入院的几率更高 (AOR 1.48) 和非选择性入院 (AOR 1.67).
- 这些患者更有可能被送往熟练护理机构 (AOR 2.16),停留时间更长 (+6.8%),费用更低 (-6.9%).
结论:
- 痴呆症在老年癌症患者中普遍存在,特别是那些患有非黑色素瘤,前列腺和膀癌的人.
- 伴随性痴呆症与意外住院有关,这表明需要改善医疗保健管理.
- 量身定制的策略对于管理同时出现痴呆症的癌症患者至关重要.
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