需要重症监护的非手术患者的年龄特异性差异 - 过去十年的趋势和预后影响
Mana Sawahata1, Akihiro Shirakabe1, Masato Matsushita1
1Division of Intensive Care Unit, Nippon Medical School Chiba Hokusoh Hospital.
概括
重症监护病人的平均年龄正在上升,老年人面临更高的死亡风险. 败血症显著增加了老年重症监护病人的死亡率.
科学领域:
- 关键护理医学 关键护理医学
- 老年医学 老年医学
- 流行病学 流行病学
背景情况:
- 需要重症监护的患者的人口特征正在演变.
- 了解关键护理中的与年龄相关的趋势和结果对于资源配置和患者管理至关重要.
研究的目的:
- 分析十年来非手术重症监护病人的年龄相关趋势.
- 研究衰老对预后的影响,考虑潜在的病因.
主要方法:
- 从2012年至2021年,对4279名非手术重症监护病人的回顾性分析.
- 患者分为四个年龄组:<60,60-69,70-79岁和≥80岁.
- 用于评估死亡率预测因素的多变量考克斯和后勤回归模型.
主要成果:
- 观察到80岁以上的患者的显著增加和60-69岁患者的减少.
- 年龄≥80岁独立预测更高的365天全因死亡率 (HR 2.070).
- 败血症独立预测了365天的死亡率,特别是在80岁以上的患者中 (HR 1.878).
结论:
- 人口老龄化越来越多地出现在重症监护病房.
- 高龄是增加365天死亡率的重要独立预测因素.
- 败血症会加剧老年重症监护病人的死亡风险.
相关概念视频
01:28Current Trends in Nursing I
1.4K
Current trends in nursing include:
1.4K
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:29Issues And Trends In Healthcare Delivery System
5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
01:29Acute Respiratory Failure-V
109
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
109
01:19Respiratory Assessment: Purpose and Indications
970
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
970