患者的年龄会影响损伤的治疗方法吗?
Nizar Hakam1, Behzad Abbasi1, Umar Ghaffar1
1Department of Urology, University of California San Francisco, San Francisco, CA, USA.
BMC urology
|August 22, 2025
概括
患有损的老年患者更有可能接受切除和血管栓塞. 这表明年龄可能会影响损伤的治疗决定.
科学领域:
- 创伤手术
- 尿道病学
- 医疗服务研究
背景情况:
- 治疗损伤可能很复杂.
- 患者年龄是临床决策的关键因素.
- 了解与年龄相关的程序干预趋势至关重要.
研究的目的:
- 研究患者年龄与损伤的程序干预之间的关联.
- 专门研究年龄和切除率之间的关系.
- 在治疗损伤方面发现潜在的与年龄相关的偏差.
主要方法:
- 使用了2013-2020年国家创伤数据库 (NTDB) 对成人损伤患者.
- 包括美国创伤外科协会 (AAST) 评级的患者.
- 使用多项逻辑回归,根据临床和医院因素进行调整.
主要成果:
- 分析了49884名患有损的患者.
- 老年患者 (≥40岁) 患切除术和血管栓塞的风险较高.
- 随着年龄的增长,瘤发生率没有显著变化.
结论:
- 晚年患者与切除和血管栓塞在损伤的可能性增加有关.
- 研究结果表明,与年龄相关的认知偏差可能导致损伤.
- 需要进一步的研究来探索和减轻与年龄相关的护理差异.
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