老年患者的急性疼痛轨迹具有脆弱性关节骨折
Paul Potnuru1, Christina Goehl1, Katherine S Becker2
1Department of Anesthesiology, Critical Care and Pain Medicine, McGovern Medical School at UTHealth Houston, Houston, TX, United States of America.
Bone
|February 24, 2025
概括
在患有脆弱性关节骨折 (FHF) 的老年患者中确定急性疼痛轨迹可以个性化疼痛管理. 持续性疼痛与增加的阿片类药物使用和更长的住院时间有关.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
背景情况:
- 对于患有脆弱性关节骨折 (FHF) 的老年患者来说,疼痛管理是复杂的.
- 需要个性化止痛策略来有效控制疼痛.
研究的目的:
- 在老年FHF患者中识别明显的急性疼痛轨迹.
- 将疼痛轨迹与临床因素和结果联系起来.
主要方法:
- 对100名老年FHF患者进行前性观察研究.
- 基于组的轨迹建模 (GBTM) 用于分析伤害后五天的疼痛模式.
- 简要的疼痛清单 (BPI) 评估了日常疼痛;分析了因素和结果 (阿片类药物的使用,住院时间 (LOS)).
主要成果:
- 确定了三种疼痛轨迹:最小的,缓和的和持续的疼痛.
- 与严重疼痛相关的因素包括更高的入院疼痛,BMI和胸腔间骨折类型.
- 持续的疼痛与40%的阿片类药物使用和1.45倍长的LOS相关.
结论:
- FHF患者的急性疼痛表现出不同的轨迹,使得个性化疼痛管理成为可能.
- 严重的疼痛轨迹需要更密切的监测,因为阿片类药物消费增加和长时间住院治疗.
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