Cho Hang Joo, Hong Tae Hwa, Kim Maru
Department of Trauma Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Medicine (Baltimore). 2018 Mar;97(9):e0034. doi: 10.1097/MD.0000000000010034.
Population aging is associated with increasing numbers of geriatric trauma patients, and various studies have evaluated their short-term outcomes, assessment, and treatment. However, there is insufficient information regarding their long-term outcomes. This study evaluated the physical and nutritional statuses of geriatric patients after trauma-related hospitalization.Data regarding physical and nutritional status were obtained from the Korean National Health and Nutrition Examination Survey VI (2013-2015).A total of 21,069 individuals participated in the survey, including 5650 geriatric individuals. After excluding individuals with missing data, 3731 cases were included in the analyses. The average age was 68 years, and most individuals were women (n = 2055, 55.08%). There were 94 patients had been hospitalized because of trauma. Trauma-related hospitalization among geriatric patients was significantly associated with reduced strength exercise (23.56% vs 12.99%, P = .043), activity limitations caused by joint pain (0.65% vs 3.31%, P = .028), self-care problems (8.00% vs 16.77%, P = .008), pain or discomfort (29.48% vs 40.51%, P = .024), hypercholesterolemia (27.37% vs 39.36%, P = .037), and mastication discomfort (39.98% vs 57.85% P = .005). The adjusted analyses revealed that trauma-related hospitalization was independently associated with activity limitations caused by joint pain (odds ratio [OR]: 5.04, 95% confidence interval [CI]: 1.29-19.67, P = .020), self-care problems (OR: 2.24, 95% CI: 1.11-4.53, P = .025), pain or discomfort (OR: 1.77, 95% CI: 1.08-2.89, P = .023), and mastication discomfort (OR: 2.06, 95% CI: 1.22-3.46, P = .007).Medical staff should be aware that geriatric patients have relatively poor physical and nutritional statuses after trauma-related hospitalization, and manage these patients accordingly.
人口老龄化与老年创伤患者数量的增加相关,并且多项研究已经评估了他们的短期预后、评估及治疗情况。然而,关于他们长期预后的信息不足。本研究评估了创伤相关住院治疗后老年患者的身体和营养状况。
有关身体和营养状况的数据来自韩国第六次全国健康与营养检查调查(2013 - 2015年)。
共有21,069人参与了该调查,其中包括5650名老年个体。在排除数据缺失的个体后,3731例纳入分析。平均年龄为68岁,大多数个体为女性(n = 2055,55.08%)。有94名患者因创伤住院。老年患者中与创伤相关的住院治疗与力量锻炼减少(23.56%对12.99%,P = 0.043)、关节疼痛导致的活动受限(0.65%对3.31%,P = 0.028)、自我护理问题(8.00%对16.77%,P = 0.008)、疼痛或不适(29.48%对40.51%,P = 0.024)、高胆固醇血症(27.37%对39.36%,P = 0.037)以及咀嚼不适(39.98%对57.85%,P = 0.005)显著相关。校正分析显示,与创伤相关的住院治疗与关节疼痛导致的活动受限(比值比[OR]:5.04,95%置信区间[CI]:1.29 - 19.67,P = 0.020)、自我护理问题(OR:2.24,95% CI:1.11 - 4.53,P = 0.025)、疼痛或不适(OR:1.77,95% CI:1.08 - 2.89,P = 0.023)以及咀嚼不适(OR:2.06,95% CI:1.22 - 3.46,P = 0.007)独立相关。
医务人员应意识到,老年患者在创伤相关住院治疗后的身体和营养状况相对较差,并应据此对这些患者进行管理。