患有多重疾病的老年手术患者的术后结果:埃塞俄比亚的一项纵向研究
Amanuel Sisay Endeshaw1, Fantahun Tarekegn Kumie2, Simachew Amogne Debas2
1Department of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. yelfgntamirat@gmail.com.
BMC public health
|August 4, 2025
概括
在埃塞俄比亚,老年手术患者中多病症很常见,影响超过10%. 这种情况显著增加了术后死亡的风险,突出显示了术前查和优化的需要.
科学领域:
- 老年人手术是一门老年人手术.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 多发病症是一个重大的全球健康挑战,特别影响老年人群.
- 接受重大手术的老年患者由于多种同时存在的疾病而面临更大的健康风险.
研究的目的:
- 确定埃塞俄比亚接受重大手术的老年人多病发病率.
- 调查多病症和术后结果之间的关联,包括死亡率和住院时间.
主要方法:
- 从2019年到2021年,在埃塞俄比亚西北部的一家高等教学医院进行了一项纵向研究.
- 包括874名连续接受重大手术的50岁及以上的患者.
- 修改Poisson回归分析了多病症和28天外科手术后死亡率以及住院时间之间的关联.
主要成果:
- 在老年手术患者中,多病症的患病率为10.76%.
- 与没有并发症患者 (28.21%) 相比,多发症患者的术后死亡率 (36.46%) 显著高于没有并发症患者 (28.21%).
- 多重病变与术后死亡风险增加了八倍 (aRR = 8.07).
结论:
- 多病症是埃塞俄比亚接受重大手术的老年患者常见的疾病.
- 多发病症在这个人群中大大提高了手术后死亡的风险.
- 建议对具有多种疾病的老年手术患者进行手术前查和优化.
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