艾滋病毒感染的老年患者访问急诊室:基于EDEN注册表的方法
Òscar Miró1, Laia Sentís2, Míriam Carbó2
1Área de Urgencias, Hospital Clínico, IDIBAPS, Barcelona, Spain; Universitat de Barcelona, Barcelona, Spain.
Revista clinica espanola
|February 4, 2026
概括
与艾滋病毒 (PLHIV) 感染的老年人具有类似的基线特征,但与普通人群相比,急诊室 (ED) 访问率更高. 长期结果显示,两组之间严重程度或死亡率没有显著差异.
科学领域:
- 老年病的医生 老年病的医生
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 艾滋病毒感染人口老龄化正在增长,需要了解他们的医疗需求.
- 紧急诊所 (ED) 是对老年人,包括艾滋病毒感染者的关键护理点.
研究的目的:
- 调查西班牙医院急诊室 (ED) 感染艾滋病毒 (PLHIV) 的老年人的发病率,特征和结果.
主要方法:
- 分析EDEN注册表,包括来自西班牙52个EDS的25557名65岁以上的患者.
- 在PLHIV和非PLHIV组之间比较社会人口统计因素,基线状态和ED/住院结果.
- 3年的随访时间包括再诊,再住院和死亡率.
主要成果:
- 在ED访问中,PLHIV占0.30%,每年访问率高于非PLHIV患者.
- 社会人口统计学和基线特征相似,除了PLHIV更年轻.
- 较老的PLHIV呈现出显著的并发症 (27%),功能限制 (27%) 和认知障碍 (11%).
- 在PLHIV中最常见的ED诊断包括肺炎和心力衰竭.
- 住院率,长时间住院和住院死亡率在各组之间没有显著差异.
- 3年出院后的结果 (再诊,住院,死亡) 没有显著差异.
结论:
- 老年PLHIV与一般人群具有类似的基线特征,但表现出ED利用率增加.
- 在老年PLHIV患者和非HIV患者之间,ED表现的严重程度和长期健康结果并没有显著差异.
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