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BMJ:哈佛大学研究发现医生越老,其患者死亡率越高

2017-05-27 文韬 中国循环杂志

有句话说的好,医生越老越吃香,但来自美国哈佛大学的一项研究称,称医生年龄越大,其治疗的患者死亡率就越高。年龄超过60岁的医生,其医治的患者死亡率最高。研究显示,年龄低于40岁的医生,其患者30天死亡率为10.8%;50至59岁的医生,其患者30天死亡率为11.3%;60岁以上的医生,其患者死亡率为12%。研究中不同年龄段医生医治的患者情况是相似的。但并不是所有医院都存在这个规律。医院规模越小,老医

有句话说的好,医生越老越吃香,但来自美国哈佛大学的一项研究称,称医生年龄越大,其治疗的患者死亡率就越高。年龄超过60岁的医生,其医治的患者死亡率最高。

研究显示,年龄低于40岁的医生,其患者30天死亡率为10.8%;50至59岁的医生,其患者30天死亡率为11.3%;60岁以上的医生,其患者死亡率为12%。研究中不同年龄段医生医治的患者情况是相似的。

但并不是所有医院都存在这个规律。

医院规模越小,老医生的问题越大。在小医院(每年看病不到90个),60岁以上的老医生看的病人死亡风险较年轻医生增加60%;中等医院(每年看病90-200个),老医生的病人死亡风险增加23%。

在规模大的医院(每年能看200个病人的医院),这一现象不存在。

作者称,老医生可能不按照指南看病;而且存在知识老化问题:更多的是凭经验,而不是最新的证据,应用新技术较少。

作者认为,大医院由于病人量大,有带教任务,老医生也能及时接触最新的技术和理念,这一现象就不存在了。

该研究分析了美国70万名老年住院患者和1.9万名医生的相关数据。分析的疾病仅包括脓毒症、心力衰竭、肺炎和慢阻肺。该研究没有包括外科医生。

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    2017-08-25 gaoxiaoe
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    2017-06-30 李东泽

    有意思的研究,思维方式很独特,需要借鉴学习

    0

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    2017-05-29 amyloid
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    2017-05-28 Y—xianghai

    活到老学到老。

    0

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    2017-05-28 穆慕仁真

    有意思的研究

    0

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    2017-05-28 1e145228m78(暂无匿称)

    学习了,谢谢作者分享!

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    2017-05-28 杨利洪

    学习了值得关注

    0

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