"65岁以上面部创伤患者死亡率增加的预测因素"
Bianca Di Chiaro1, Victoria Hodkiewicz2, Christopher Kujalowicz2
1Department of Surgery, Division of Plastic and Reconstructive Surgery, Loyola University Medical Center.
The Journal of craniofacial surgery
|August 11, 2025
概括
面部创伤的老年患者面临更高的死亡风险. 以前存在的疾病,如中风和癌症,以及新诊断的胃潰瘍疾病,显著降低生存率,而乙氨基使用与更好的结果有关.
科学领域:
- 老年医学 老年医学
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 面部创伤死亡率总体较低 (<1%),但在老年人群中显著上升.
- 关于老年面部创伤患者的发病率和死亡率趋势的研究有限.
- 这项研究调查了面部骨折的老年人并发症率和死亡率.
研究的目的:
- 分析面部创伤的老年患者的并发症率和死亡率数据.
- 确定与这一人口中死亡率增加相关的关键风险因素.
- 为老年面部创伤患者提供最佳的管理策略.
主要方法:
- 65岁以上面部创伤患者的回顾性图表审查 (2017-2021年).
- 排除在2017年之前创伤或后续数据不足的患者.
- 对人口统计,并发症和结果数据的分析.
主要成果:
- 在238名老年患者 (平均年龄76岁) 中,有15%的患者在随访期间死亡.
- 以前存在的脑血管事故 (CVA) 或转移性恶性瘤与较低的存活率相关.
- 创伤后CVA,转移性恶性瘤和胃潰瘍疾病与生存率下降有关;乙氨基使用与生存率增加有关.
结论:
- 确定了老年面部创伤患者死亡的重大风险因素.
- 强调需要主动识别风险和优化管理策略.
- 旨在改善面部受伤的老年人生存率.
相关概念视频
The Effect of Aging on Tissues
2.4K
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.4K
Bone Disorders
3.9K
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
3.9K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
1.1K
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
1.1K
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K


