复杂症,输血预测和老年患者的长期存活 阴部骨架骨折
Yichayaou Beloosesky1,2, Muhammad Saeed Naser2, Yochai Levy3
1Adelson School of Medicine, Ariel University, Ariel, Israel.
Clinical interventions in aging
|December 18, 2025
概括
老年阴茎支骨折 (PRFs) 是常见的,并与严重的并发症有关. 监测至关重要,特别是对于那些认知能力下降或血红蛋白低的人来说,由于输血风险和高死亡率.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
背景情况:
- 全球老年人口正在增长,导致阴茎分支骨折 (PRFs) 的发生率增加.
- 这些骨折显著影响患者的发病率,死亡率和功能独立性.
- 了解老年人PRF的临床过程和结果对于有效管理至关重要.
研究的目的:
- 评估老年患者的功能状态,临床过程和与PRF相关的并发症.
- 为了研究血红蛋白下降,输血需求和长期生存率.
- 为了确定在这个弱势群体中对输血需求的预测因素.
主要方法:
- 进行了一项回顾性队列研究,涉及2012年至2022年期间因PRF住院的患者.
- 收集的数据包括人口统计,临床和结果变量.
- 包括后勤回归在内的统计分析被用来确定输血需求的预测因素.
主要成果:
- 该研究包括165名老年患者 (平均年龄为85.9岁),主要是女性 (83.6%).
- 观察到高率的先前存在的功能和认知障碍.
- 一年死亡率为20%,其中15.1%出现并发症. 血红蛋白下降和输血需求显著,特别是在认知能力下降或痴呆症患者和入院血红蛋白<10 g/dL的患者中.
结论:
- 老年人的阴茎枝骨折与严重的发病率,死亡率和功能衰退有关.
- 密切监测并发症,特别是延迟失血和输血需求,是必不可少的.
- 认知状态和初始血红蛋白水平是对这一群体输血需求的关键预测因素.
相关概念视频
Blood Transfusion and Agglutination
13.9K
Blood transfusion is a therapeutic measure to restore the blood volume after extensive blood loss due to an accident or a medical procedure. Blood transfusion involves drawing a certain amount of blood from a suitable donor and infusing it into the recipient.
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
History
The history of blood transfusion dates back to the 17th century, when early attempts were made in animals. In 1818 James Blundell, a British doctor, performed the first successful human blood transfusion. Later in 1900, Karl...
13.9K
Blood Transfusion
2.1K
Blood transfusion is a critical medical procedure that saves lives and treats various medical conditions. It involves transferring blood from a donor to a recipient. This process requires a thorough understanding of the ABO blood group system and its associated antigens and antibodies.
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
2.1K
Bone Marrow Sampling and Transplants
816
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
816
Venous Thrombosis IV: Nursing Management
182
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
182
Peripheral Artery Disease V: Postoperative Nursing Management
354
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
354
Kidney Transplant I: Introduction
307
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
307


