对有或没有报告虐待的老年患者的个人资料和结果的比较分析
Jiabao Nie1, Areg Grigorian1, Negaar Aryan1
1Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, CA, USA.
The American surgeon
|July 27, 2025
概括
经历虐待的老年人 (OA) 的死亡率更高,并增加了并发症的风险. 这项研究强调了虐待老年人的严重健康影响,强调了预防工作的必要性.
科学领域:
- 老年学是一门学科.
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 虐待老年人对65岁及以上的个人健康和福利产生重大影响.
- 对于有或没有报告虐待的老年人 (OA) 的特定伤害概况和结果的了解有限.
- 以前的研究表明,虐待老年人会对OA的幸福感产生负面影响.
研究的目的:
- 为了比较报告虐待的老年人 ((+) RA) 和没有报告虐待的老年人 ((-) RA) 之间的受伤概况和结果.
- 假设OA报告滥用增加了死亡率.
- 确定报告的滥用是否与OA患者的并发症或死亡风险增加有关.
主要方法:
- 使用了2017-2019创伤质量改善计划 (TQIP) 数据库.
- 包括所有65岁及以上的老年人 (OA).
- 进行了双变量和多变量分析,以比较OA与 (+) RA和 (-) RA之间的结果,以死亡率为主要结果.
主要成果:
- 在937,465个OA中,有1552个 (0.2%) 报告了虐待 ((+RA).
- 与 (-) RA 患者相比, (+) RA 患者的穿透创伤 (枪伤和刺伤) 率更高,死亡率增加 (6.7%与4.2%相比),住院时间更长,手术干预比 (-) RA 患者更多.
- 多变量分析显示 (+) RA 与并发症 (OR 1.41) 和死亡率 (OR 1.35) 的风险增加有关.
结论:
- 报告虐待的老年人经历了更高的穿透性创伤,手术干预和死亡率.
- 在老年人中报告的虐待与增加的发病率和死亡率有关.
- 未来的前性研究应调查初级预防策略,以减轻这一脆弱人群的不良结果.
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