転倒,失禁,機能的依存症の共通の危険因子 高齢者症候群に対するアプローチを統一する
M E Tinetti1, S K Inouye, T M Gill
1Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8025, USA.
JAMA
|May 3, 1995
まとめ
高齢者の複数の障害は,転倒,失禁,機能的依存を予測する. これらの要因に対処することで,高齢者症候群や機能低下を予防または遅らせることができます.
科学分野:
- ゲリアトリック・メディシン (老年医学)
- 公衆衛生は公衆衛生である.
背景:
- 倒れ,失禁,機能的依存などの高齢症候群は,高齢者の生活の質に大きく影響を与えます.
- 誘発要因を特定することは,標的を絞った介入の開発において極めて重要です.
研究 の 目的:
- 複数の領域における障害を示唆する要因のセットを特定し,個人を転倒,失禁,機能的依存症に誘発する.
主な方法:
- 集団ベースのコホート研究では,コミュニティに住む927人の高齢者 (72歳以上) を1年間追跡した.
- 収集されたデータには,ベースラインと1年間のインタビューが含まれており,転倒, incontinence,および日常生活の活動を評価しました.
主要な成果:
- 1年以内に16%が失禁を経験し,10%が少なくとも2回転落し,20%が機能的依存症になった.
- 4つの主要な予備要因が特定されました:下肢障害 (スローチェアスタンド),上肢障害 (腕力の低下),感覚障害 (視力/聴力障害),感情障害 (不安/うつ病).
- 投与量と反応の関係が観察され,これらの症候群のリスクは,予備因子の数が増加するにつれて増加しました.
結論:
- 複数の領域の障害は,補償能力を損ない,高齢者症候群や機能的依存症につながる可能性があります.
- これらの共通の誘発因子を修正することで,これらの状態を予防または遅らせるための統一されたアプローチを提供することができます.
- 高齢症候群と機能的依存症に対処するためのより統合された戦略は正当化されています.
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