额外腹部CT成像表明,在需要紧急腹部手术的老年患者中,疾病的严重程度增加
Lavina Malhotra1, Andrew H Stephen1, Madeline Goosman1
1Division of Trauma and Surgical Critical Care, Department of Surgery, USA.
American journal of surgery
|March 21, 2025
概括
经过腹部成像的腹部败血症老年患者表现出更大的疾病负担和显著更高的死亡风险. 这表明,腹部紧急情况的老年患者的腹部外CT扫描表明严重程度,并为终身护理决策提供信息.
科学领域:
- 老年医学 老年医学
- 败血症研究 败血症研究
- 医疗成像医学成像
背景情况:
- 腹部败血症通常会导致老年人的神经和肺部问题.
- 在患有腹部败血症的老年患者中,腹部外成像可能表明疾病负担更高.
研究的目的:
- 调查腹部外成像和腹部败血症老年患者疾病严重程度之间的关联.
- 为了确定额外腹部成像是否预测了这个患者群体的结果.
主要方法:
- 对65岁以上的患者进行了回顾性研究,这些患者因败血症接受了紧急腹部手术.
- 患者被分为两组:仅腹部成像 (AbdCT) 和腹部和腹外成像 (ExtraCT).
主要成果:
- 与AbdCT患者相比,提取CT患者的痴呆症,糖尿病和COPD的发病率更高.
- 提取CT与具有qSOFA阳性和增加30天死亡率 (OR = 5.4) 的更高可能性有关.
- 在不同组中,到达手术室的时间是相似的,表明严重程度,而不是手术延迟,作为一个因素.
结论:
- 在患有腹部紧急情况的老年患者中,腹部外成像作为疾病严重程度增加的标志物.
- 结果表明,需要额外腹部成像应该促使考虑终身护理讨论.
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