在有脑血管事故史的患者中创伤结果
Adrianus Ekelmans1, Aryan Rafieezadeh1, Kartik Prabhakaran1
1Westchester Medical Center, New York Medical College, Valhalla, New York.
The Journal of surgical research
|November 30, 2025
概括
患有脑血管事故 (HxCVA) 史且患有创伤性脑损伤 (TBI) 的患者面临更高的死亡率和更长的住院时间. 这些患有HxCVA的TBI患者需要更多的密集护理资源,突出了脆弱的患者群体.
科学领域:
- 神经学 神经学
- 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:
- 创伤性脑损伤 (TBI) 的结果得到了充分的记录,但对TBI患者有脑血管事故 (HxCVA) 史的情况知之甚少.
- 了解这些结果对于优化护理和资源配置至关重要.
研究的目的:
- 为了比较TBI患者的结果,有脑血管事故史 (HxCVA) 和没有 (HwoCVA) 的患者.
- 为了确定死亡率,住院安排和住院时间的差异.
主要方法:
- 从创伤质量改善数据库 (2017-2019) 中分析了孤立的形TBI的成年患者 (≥18岁).
- 不包括被转移的患者和在抵达时死亡的患者.
- 将患者分为HxCVA和HwoCVA组进行分层,以对死亡率,住院安排和住院和ICU停留时间进行比较分析.
主要成果:
- HxCVA组 (n=23,482) 年龄较大,伤害严重程度得分低于HwoCVA组 (n=655,686).
- 在HxCVA组中,死亡率更高 (8.39%对比7.94%).
- HxCVA患者住院时间明显长 (7.10天 vs. 6.68天),但ICU住院时间较短 (4.46天 vs. 5.44天),死亡率增加 (OR: 1.283).
结论:
- 患有脑血管损伤病史 (HxCVA) 的TBI患者的死亡率增加.
- 这些患者的整体住院时间也较长,与没有HxCVA的TBI患者相比,重症监护室的使用模式不同.
- 这些发现强调,需要针对有中风病史的TBI患者制定量身定制的治疗策略.
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