风险因素与55岁及以上创伤患者的较差结果相关
Hector Mendez1, Ilko Luque1, Nicole Yordán López1
1HCA Florida Kendall Hospital, Miami, Florida.
HCA healthcare journal of medicine
|March 12, 2025
概括
55岁以上的老年创伤患者患有慢性功能衰竭,充血性心力衰竭或肝硬化,面临更高的死亡和并发症风险. 识别这些已经存在的并发症对于更好的创伤护理策略至关重要.
科学领域:
- 老年人创伤护理 创伤护理
- 共同病情评估的评估.
- 患者的治疗结果.
背景情况:
- 55岁以上的创伤患者的死亡率增加.
- 与该人口群体的不良结果相关的特定先前存在的并发症 (PEC) 仍然不确定.
- 识别这些风险因素对于改善护理至关重要.
研究的目的:
- 在55岁及以上的创伤患者中确定与不良结果相关的先前存在的并发症.
- 确定住院死亡,急性损伤 (AKI),呼吸机相关肺炎 (VAP) 和非计划性重症监护病房 (ICU) 入院的风险因素.
主要方法:
- 从一级创伤中心 (2020-2022) 追溯分析创伤登记数据.
- 包括55岁及以上因创伤入院的患者.
- 多重后勤回归用于评估PEC与特定差异结果之间的关联.
主要成果:
- 慢性功能衰竭 (CRF) 显著增加了死亡率,计划外的ICU入院和AKI的几率.
- 充血性心力衰竭 (CHF) 增加了死亡率的几率,非计划的ICU入院和VAP.
- 肝硬化与更高的死亡率,计划外的ICU入院和AKI有关.
结论:
- 像CRF,CHF和肝硬化等特定的并发症是老年创伤患者不良结果的重要风险因素.
- 这些发现可以为制定有针对性的监测和减少并发症的策略提供信息.
- 积极识别这些并发症可以改善老年创伤患者的治疗和治疗结果.
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