患有痴呆症的患者接受高风险的住院手术的结果很差
Samir K Shah1, Lingwei Xiang2, Rachel R Adler2
1Division of Vascular Surgery, University of Florida, Gainesville, Florida, USA.
Journal of the American Geriatrics Society
|September 16, 2025
概括
患有痴呆症的患者在高风险手术后面临着明显更糟糕的结果,包括更高的死亡率和并发症率. 这些发现凸显了对痴呆症患者的手术决策需要仔细考虑的必要性.
科学领域:
- 老年人手术是一门老年手术.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 健康 结果 研究 研究 结果
背景情况:
- 手术经常在痴呆症患者身上进行.
- 了解外科手术的结果对于这一群体的知情决策至关重要.
研究的目的:
- 为了比较患有和没有痴呆症的患者在高风险手术后的患者和利用结果.
主要方法:
- 关于66岁以上接受高风险手术的医疗保险受益人的回顾性全国队列研究.
- 检查了30日和90日死亡率,主要并发症,出院处置,生命终端干预和熟练护理设施 (SNF) 停留.
- 利用通用估计方程和竞争风险分析.
主要成果:
- 在859570名高风险手术患者中,14.5%患有痴呆症.
- 痴呆症患者的90天死亡率 (22.8%对9.3%),严重并发症 (51.6%对38.5%) 和长时间SNF停留 (3.7%对1.4%) 显著增加.
- 痴呆症患者更有可能获得更高水平的护理,并接受输卵管养.
结论:
- 与没有痴呆症的人相比,患有痴呆症的人在经历高风险手术后的结果要糟糕得多.
- 这些发现为痴呆症患者的手术决策过程提供了关键数据.
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