■与年轻的创伤性脊髓损伤(TSCI)患者相比,老年人手术延误时间更长,不完全损伤的比例更高,住院时间更长。然而,在中国,TSCI患者人数最多的国家,没有关于他们年龄差异的大规模报告。
■为了探讨TSCI住院患者的年龄差异,关注人口统计学和临床特征,治疗状态,和经济负担。
■我们收集了中国30家医院13334例TSCI住院患者的病历,从2013年1月1日至2018年12月31日。趋势表示为年度百分比变化(APC)和95%置信区间(CI)。
■共纳入13,334名住院患者。老年人的数量和比例均呈增加趋势。≥85岁患者的APC数量和比例分别为39.5%(95%CI,14.3~70.3;P<0.01)和30.5%(95%CI,8.6~56.9;P<0.01),分别。年轻的患者更有可能接受减压手术,老年患者更有可能接受大剂量甲泼尼龙琥珀酸钠/甲泼尼龙(MPSS/MP).在≥85岁的患者中,没有人在8小时内接受减压手术,只有1.4%的人在损伤后8小时内接受了高剂量的MPSS/MP。老年患者的住院费用比年轻患者低。≥85岁患者住院期间的总医疗费用和每日医疗费用分别为8.06±18.80(IQR:5.79)和0.61±0.73(IQR:0.55)千元,分别。
■作为中国第一个关注TSCI患者年龄差异的研究,这项研究发现了许多差异,在人口统计学和临床特征方面,治疗状态,和经济成本,老年和年轻的TSCI患者之间。老年患者的数量和比例增加,老年患者早期手术率较低。
UNASSIGNED: Compared with younger traumatic spinal cord injury (TSCI) patients, the elderly had longer delays in admission to surgery, higher proportion of incomplete injury, and longer hospital stays. However, in
China, the country with the largest number of TSCI patients, there have been no large-scale reports on their age differences.
UNASSIGNED: To explore the age-based differences among TSCI inpatients, focusing on the demographic and clinical characteristics, treatment status, and economic burden.
UNASSIGNED: We collected the medical records of 13,334 inpatients with TSCI in the 30 hospitals of
China, from January 1, 2013 to December 31, 2018. Trends are expressed as annual percentage changes (APCs) and 95% confidence intervals (CIs).
UNASSIGNED: A total of 13,334 inpatients were included. Both the number and proportion of the elderly showed an increasing trend. The APC of the number and proportion in patients ≥85 years were 39.5% (95% CI, 14.3 to 70.3; P < 0.01) and 30.5% (95% CI, 8.6 to 56.9; P < 0.01), respectively. Younger patients were more likely to undergo decompression surgery, and older patients were more likely to receive high-dose methylprednisolone sodium succinate/methylprednisolone (MPSS/MP). Of the patients ≥85 years, none underwent decompression surgery within 8 h, and only 1.4% received a high dose of MPSS/MP within 8 h after injury. Elderly patients had lower hospitalization costs than younger. The total and daily medical costs during hospitalization of patients ≥85 years were 8.06 ± 18.80 (IQR: 5.79) and 0.61 ± 0.73 (IQR: 0.55) thousands dollars, respectively.
UNASSIGNED: As the first study to focus on age differences of TSCI patients in
China, this study found many differences, in demographic and clinical characteristics, treatment status, and economic costs, between older and younger TSCI patients. The number and proportion of elderly patients increased, and the rate of early surgery for elderly patients is low.