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Experimental Model to Evaluate Resolution of Pneumonia
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Pleural Empyema患者临床结果的年龄相关差异:一个回顾性单中心研究
Josef Yayan1, Christian Biancosino2
1Department of Internal Medicine, Division of Pulmonary, Allergy and Sleep Medicine, HELIOS Clinic Wuppertal, Witten/Herdecke University, Heusnerstr. 40, 42283 Wuppertal, Germany.
Geriatrics (Basel, Switzerland)
|July 23, 2025
概括
老年患者接受肺部静脉瘤手术时面临更高的风险,但获得的结果与年轻患者相似. 临床状况,而不是年龄,应该指导这种严重疾病的手术决定.
科学领域:
- 胸部外科手术 胸部外科手术
- 老年医学 老年医学
- 关键护理医学 关键护理医学
背景情况:
- 腹腔共呈现出显著的发病率和死亡率,特别是在老年人.
- 预期寿命的增加导致更多的老年人需要为empyema进行手术干预.
- 肺肺瘤手术结果的年龄相关差异还没有得到很好的定义.
研究的目的:
- 调查临床表现和术后因素的与年龄相关的变化.
- 为了比较经手术后的结果,年轻和年长的患者接受了血瘤手术.
- 为了确定时间学年龄是否会影响腹腔凝血瘤的手术治疗决策.
主要方法:
- 从2019年12月到2024年5月,对103名患者进行了回顾性单中心研究.
- 患者分为两组:65岁以下和65岁以上.
- 基线特征的比较,ASA得分,瘤阶段,住院时间,排水时间,并发症和死亡率.
主要成果:
- 年龄较大的患者 (≥65岁) 的ASA得分较高,empyema阶段更先进.
- 在老年患者中观察到显著更长的住院时间.
- 并发症率,排水时间,ICU入院和住院死亡率没有显示出与年龄相关的显著差异.
结论:
- 尽管外科手术期间风险较高,但老年患者的外科手术结果与患有多发性静脉的年轻患者相似.
- 慢性年龄不应该成为对膜静脉瘤进行手术治疗的障碍.
- 对于膜静脉瘤的手术候选人,应优先考虑临床状态,而不是时间年龄.
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