虚弱如何影响退伍军人耳植入器的术前和语音识别结果?
Kaitlyn A Brooks1, Benjamin D Lovin2, Alex D Sweeney1
1Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.
概括
在接受耳植入物 (CI) 的退伍军人中,虚弱是常见的. 虽然虚弱会影响CI手术后的语音识别结果,但它不会显著影响入院率或并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 虚弱是老年人的一个重要问题,影响了手术的结果.
- 耳植入 (CI) 越来越多地在老兵群体中进行,需要了解患者特定的风险因素.
研究的目的:
- 检查退伍军人手术前虚弱和耳植入物 (CI) 后入院,发病率和语音识别结果之间的关联.
- 在退伍军人队伍中确定脆弱性作为CI后结果的预测因素.
主要方法:
- 在1998年至2024年期间在单一VHA医院接受CI的退伍军人的回顾性队列研究.
- 使用修改的5项脆弱性指数 (mFI-5) 评估的脆弱性.
- 结果包括麻醉后护理单位 (PACU) 的入院,发病率 (例如,头) 和CI辅助词识别分数 (WRS) 在6个月和12个月.
主要成果:
- 在91名退伍军人患者中观察到脆弱 (46%) 和脆弱前期 (28.6%) 的高患病率.
- 虚弱的患者表现出较高的入院率 (RR 1.15) 和头率 (RR 1.23) 的非显著趋势.
- 手术前的虚弱与6个月和12个月后CI WRS较差显著相关 (p < .05).
结论:
- 在接受耳植入的退伍军人中,脆弱性非常普遍.
- 患者的脆弱性是CI后语音识别性能下降的重要预测因素.
- 在这个队列中,虚弱并没有显著影响入院或术后并发症的可能性.
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