住院治疗,限制活动,以及老年人发展残疾
Thomas M Gill1, Heather G Allore, Theodore R Holford
1Department of Internal Medicine, Yale University School of Medicine, Dorothy Adler Geriatric Assessment Center, New Haven, Conn 06504, USA. gill@ynhh.org
住院治疗和限制活动显著增加了老年人的残疾风险,无论身体脆弱. 这些活动是预防社区老年人的残疾的主要目标.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 对于老年人来说,预防日常生活活动中的残疾至关重要.
- 在老年人群中发展残疾的过程仍然不完全理解.
研究的目的:
- 检查住院和限制活动与随后的残疾之间的联系.
- 确定身体虚弱是否会改变这些事件与残疾之间的关系.
主要方法:
- 对754名70岁以上的非残疾社区居民进行前性队列研究.
- 参与者按身体虚弱 (缓慢的步行速度) 分类,并跟踪5年.
- 每月的采访评估了中间事件 (住院治疗,活动限制) 和残疾发病.
主要成果:
- 在5年内,55.3%的参与者出现了残疾.
- 住院治疗 (1个月内) 显示残疾危险比率为61.8.
- 限制活动 (在1个月内) 显示残疾危险比为5.54.
- 由于跌倒而入院的患者与残疾密切相关.
- 对脆弱和非脆弱个体来说,关联是显著的.
结论:
- 住院治疗和活动限制是社区居住的老年人残疾的重要触发因素.
- 这些中间事件是旨在预防残疾的干预措施的潜在目标.
- 这些发现无论个体的基线身体脆弱状态如何,都是正确的.
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