脆弱性:臨床実務と公衆衛生への影響
Emiel O Hoogendijk1, Jonathan Afilalo2, Kristine E Ensrud3
1Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VU University Medical Center, Amsterdam, Netherlands.
Lancet (London, England)
|October 15, 2019
まとめ
衰弱は高齢者の健康問題であり 転倒,入院,死亡のリスクを高めています 脆弱性を特定し予防することは公衆衛生と臨床実務にとって極めて重要です
科学分野:
- ゲロントロジー
- 公衆衛生
- 臨床医学
背景:
- 人口の高齢化に伴い 脆弱性が増加すると予測される 世界的な健康問題です
- 身体的衰弱と 脆弱性の増加が伴うため 転倒や入院 死亡などの悪影響が伴います
- 脆弱性は医療費と利用率の上昇と 関連しています
研究 の 目的:
- 脆弱性の影響と負担について 概要をお伝えします
- 臨床実務における脆弱性概念の有用性について議論する.
- 脆弱性の予防のための潜在的なターゲットと将来の研究方向を特定する.
主な方法:
- このシリーズの論文は,既存の文献と専門知識をまとめています.
- 世界的な流行,危険因子,そして脆弱性の影響について見直しています.
- この論文では,様々な介護環境における脆弱性評価の適用について論じています.
主要な成果:
- 弱さは高齢者に影響し,併発性疾患,低社会経済的地位,栄養不良,静止生活をしている人にとってはリスクが高い.
- 潜在的に変更可能なリスク要因は,介入のためのターゲットを提供します.
- 介護における使用が増加しているにも関わらず,脆弱性を識別する標準化されたツールはまだ欠けている.
結論:
- 骨の脆弱性は 臨床と公衆衛生の統合された戦略を必要とする 大きく成長する課題です
- 早期発見と介入は有害な結果を軽減し,医療負担を軽減する鍵です.
- 標準化された評価ツールと効果的な予防戦略を確立するためにさらなる研究が必要である.
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