随着时间的推移,离院后死亡率和预测因素的变化:来自五年病房范围研究的数据
Giuseppe A Ramirez1,2, Bruno N Germinario3, Giovanni Benanti1,3
1Unit of Immunology, Rheumatology, Allergy and Rare Diseases, IRCCS Ospedale San Raffaele, via Olgettina 60, 20132 Milan, Italy.
Journal of clinical medicine
|January 28, 2026
概括
由于复杂的慢性疾病而住院的患者中,超过一半的患者在五年内死亡. 识别死亡率预测因素可以改善这些脆弱个体的护理和息转诊.
科学领域:
- 老年学是指老年学的学科.
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 复杂的慢性疾病正在增加,导致频繁的住院治疗.
- 在这些患者中,长期出院后的死亡率及其预测因素尚不清楚.
- 这种知识差距可能会导致低于最佳的护理和延迟的息治疗转诊.
研究的目的:
- 为了评估五年离院后的死亡率.
- 为了确定老年人死亡率的预测因素,多病症患者入院内科.
- 为患者管理和息护理整合提供信息.
主要方法:
- 对一组老年多病患者的分析,这些患者在12个月内被录入内科.
- 利用公共卫生登记处追踪出院患者的五年死亡率 (至2022年).
- 检查了临床因素,脆弱性,护理强度和患者复杂性作为预测因素.
主要成果:
- 五年出院后的死亡率达到57%,一年后达到32%的峰值.
- 癌症,神经,肝脏和呼吸系统疾病预测了早期/中期死亡率.
- 脏疾病,依赖和免疫抑制预测了第一年死亡率.
- 心血管和胃肠道疾病预测晚期死亡率.
- 脆弱性和护理复杂性预测了所有时间框架内的死亡率.
结论:
- 很大一部分内科患者可能会从息治疗中受益.
- 了解差异性死亡预测因素有助于患者管理.
- 对于处于危险阶段的个体来说,早期或同时识别息护理至关重要.
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