年龄不会影响老年成人创伤患者的术后乳酸盐值
Kristin Salottolo1, Alexander Knippenberg2, Michael Fisher2
1Trauma Research Department, Swedish Medical Center, Englewood, Colorado, USA.
Journal of the American Geriatrics Society
|October 7, 2025
概括
年龄不会显著影响老年成人创伤患者的术后乳酸水平. 这项研究没有发现患者年龄和乳酸值之间的关联,这表明目前的解释准则适合这个人口群体.
科学领域:
- 老年医学 老年医学
- 创伤外科 手术 创伤外科
- 关键护理医学 关键护理医学
背景情况:
- 乳酸监测对于识别高风险患者至关重要,但目前的解释不考虑年龄.
- 年龄对老年人术后乳酸水平的影响仍未得到充分研究.
- 这项研究研究了年龄作为老年创伤患者乳酸值的潜在改变因素.
研究的目的:
- 确定65岁及以上患者的年龄和术后静脉乳酸盐 (pVL) 水平之间的关联.
- 为了检查年龄是否改变了接受手术的老年成人创伤患者的pVL的解释.
主要方法:
- 对284名年龄≥65岁的患者进行了回顾性观察性研究,这些患者接受了手术干预.
- 术后静脉乳酸 (pVL) 和患者年龄的分析,连续和分类.
- 按混因素进行分层分析,包括生存率,ICU入院,受伤严重程度和脆弱性.
主要成果:
- 在连续或分类检查时,没有发现年龄和pVL之间的显著关联 (p > 0.05).
- 按ICU入院,受伤严重程度,生存率和脆弱性的分层分析也显示没有显著的pVL年龄关联.
- 平均年龄为80岁,其中37%的患者≥85岁;13%的pVL≥3 mmol/L.
结论:
- 年龄不是解释老年成人创伤患者术后乳酸值的一个重要因素.
- 目前的乳酸解释值似乎适用于老年创伤人口.
- 可能不需要进一步的研究来调整基于这个群体年龄的乳酸解释.
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