Section of Trauma and Acute Care Surgery, Department of Surgery, Reading Health System, Reading, PA 19611, USA.
Alvernia University, Reading, PA 19607, USA.
Am J Surg. 2018 Mar;215(3):419-422. doi: 10.1016/j.amjsurg.2017.10.050. Epub 2017 Nov 11.
The consequences of discharging anemic geriatric trauma patients are not well studied. We hypothesize that anemia at discharge is associated with adverse outcomes.
A 1-year retrospective review of patients ≥65 years was performed. Hemoglobin levels at admission (HbA), discharge (HbD) and the lowest inpatient level (HbL) were recorded. Severity of anemia was categorized as mild (Hb ≥ 10.0 g/dl), moderate (Hb < 10.0 and ≥ 8.5 g/dl) and severe (Hb < 8.5 g/dl). The study endpoint was death or unplanned readmission 60 days following discharge. Univariate and multivariable analysis were used to determine if anemia predicted the outcome. A p value of 0.05 was considered significant.
550 patients were included. Moderate and severe anemia for HbA each predicted the study endpoint. Both HbD and HbL were highly correlated with HbA but did not predict the study endpoint.
The degree of discharge anemia was not predictive of 60-day mortality or unplanned admissions in geriatric trauma patients.
discharged anemic geriatric trauma patients 出院时贫血的老年创伤患者的后果尚未得到充分研究。我们假设出院时的贫血与不良结局相关。
对≥65 岁的患者进行了为期 1 年的回顾性研究。记录入院时（HbA）、出院时（HbD）和住院期间最低水平（HbL）的血红蛋白水平。贫血严重程度分为轻度（Hb≥10.0 g/dl）、中度（Hb<10.0 且≥8.5 g/dl）和重度（Hb<8.5 g/dl）。研究终点是出院后 60 天内死亡或计划外再入院。使用单变量和多变量分析来确定贫血是否预测结果。p 值<0.05 被认为具有统计学意义。
共纳入 550 例患者。HbA 的中度和重度贫血均预测了研究终点。HbD 和 HbL 与 HbA 高度相关，但不能预测研究终点。
老年创伤患者出院时的贫血程度不能预测 60 天死亡率或非计划入院。
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