巴西住院骨折老年人一年期生存分析
Survival Analysis of Hospitalized Elderly People with Fractures in Brazil Over One Year.
作者信息
Nunes Brenda Kelly Gonçalves, Lima Brunna Rodrigues de, Guimarães Lara Cristina da Cunha, Guimarães Rafael Alves, Rosso Claci Fátima Weirich, de Almeida Felipe Lucenda, Pagotto Valéria
机构信息
Faculdade de Enfermagem, Programa de Pós-graduação em Enfermagem, Universidade Federal de Goiás, Goiânia, GO 74605080, Brazil.
Instituto de Patologia Tropical e Saúde Pública, Departamento de Saúde Coletiva, Universidade Federal de Goiás, Goiânia, GO 74605050, Brazil.
出版信息
Geriatrics (Basel). 2020 Feb 19;5(1):10. doi: 10.3390/geriatrics5010010.
OBJECTIVE
This study analyzes the causes of death, survival, and other related factors in hospitalized elderly people with fractures over the course of one year.
METHODS
We followed 376 fracture patients for one year in a prospective cohort study to a reference hospital in central Brazil. The Cox regression model was used to analyze factors associated with survival.
RESULTS
The results indicate that the one-year mortality rate was high (22.9%). The independent factors linked to lower overall survival were as follows: patients aged >80 years with previous intensive care unit (ICU) admission and presence of comorbidities (diabetes mellitus [DM] and dementia).
CONCLUSION
Our study results may contribute to a better understanding of the impact of fractures on the elderly population and reinforce the need to oversee age-groups, diabetic patients, and patients with complications during hospitalization.
目的
本研究分析了住院老年骨折患者在一年期间的死亡原因、生存率及其他相关因素。
方法
在巴西中部一家参考医院进行的前瞻性队列研究中，我们对376例骨折患者进行了为期一年的随访。采用Cox回归模型分析与生存相关的因素。
结果
结果表明，一年死亡率较高（22.9%）。与总体生存率较低相关的独立因素如下：年龄>80岁、既往入住过重症监护病房（ICU）以及存在合并症（糖尿病和痴呆症）。
结论
我们的研究结果可能有助于更好地理解骨折对老年人群的影响，并强化在住院期间对老年群体、糖尿病患者及有并发症患者进行监测的必要性。
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