急诊滞留时间对老年创伤患者生存状况的影响

发布时间：2018-01-30 01:09

本文关键词： 急诊滞留时间创伤生存状况　出处：《中国老年学杂志》2016年06期 　论文类型：期刊论文

【摘要】：目的探讨急诊滞留时间对老年创伤患者生存状况的影响。方法 120例该院急诊多发伤老年患者,详细记录患者信息,随访2个月记录患者生存状况,筛选出影响患者生存状况的相关因素;同时根据急诊滞留时间分为无滞留组(6 h),轻度滞留组(6 h≤滞留时间72 h),严重滞留组(滞留时间≥72 h)。分析不同急诊滞留时间对老年创伤患者生存状况的影响。结果 120例老年创伤患者中10例(8.3%)死亡。死亡组患者年龄、损伤严重评分(ISS)及急诊滞留时间明显高于生存组,与老年创伤患者生存状况存在相关性(P0.05);多因素分析发现高龄、ISS评分高及急诊滞留时间延长是老年创伤患者死亡的独立危险因素(P0.05)。无滞留组生存率高于轻度及严重滞留组(P0.05);轻度滞留组生存率高于严重滞留组(P0.05)。结论急诊滞留时间延长可明显增加老年创伤患者死亡率,在临床实际中需进行有效协调尽可能使该类患者住院,避免滞留时间延长带来的不良影响。
[Abstract]:Objective to investigate the effect of emergency residence time on survival status of elderly patients with trauma. Methods 120 cases of the hospital emergency multiple injuries in elderly patients, detailed records of patient information, follow-up 2 months recorded the survival status of the patients, screening out the related factors that affect the survival of patients; at the same time according to the emergency detention time divided into non retention group (6 h group (6), mild retention retention time of H is less than or equal to 72 h), severe group (retention retention time = 72 h). Analysis of the effect of emergency residence time on the survival status of elderly patients with trauma. Results 120 cases of elderly patients with trauma in 10 cases (8.3%) died. The death age of patients, injury severity score (ISS) and emergency residence time was significantly higher than the survival group, correlation and survival status of elderly patients with wound (P0.05); multi factor analysis showed that age, high ISS score and prolong the retention time of emergency are independent risk factors of death in elderly patients with trauma (P 0.05). No stranded group survival rate higher than that of mild and severe retention group (P0.05); mild retention group survival rate is higher than the severe group retention (P0.05). Conclusion emergency residence time prolonged significantly increased mortality in elderly patients with trauma in clinical practice, the need for effective coordination as far as possible to make the patients in hospital, avoid prolonged residence time the adverse effects.

【作者单位】：江苏大学附属医院急诊外科;
【分类号】：R641
【正文快照】： 急诊创伤发病急、病情重,死亡率比较高,但临床上由于多种因素影响,急诊创伤患者不能及时住院治疗。研究发现〔1〕,急诊滞留时间会严重增加患者住院时间及住院费用,但其对老年创伤患者生存预后的研究尚少。本研究旨在探讨急诊滞留时间对老年创伤患者生存状况的影响。1对象和方

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