在老年人住院或限制活动后,残疾的变化
Thomas M Gill1, Heather G Allore, Evelyne A Gahbauer
1Yale University School of Medicine, Department of Internal Medicine, New Haven, CT, USA. thomas.gill@yale.edu
干预疾病和伤害显著增加了老年人的残疾风险,特别是那些身体虚弱的人. 住院治疗是一种强烈的事件,也会阻碍现有残疾的康复.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 老年人的残疾是动态的,经常发生过渡和恢复.
- 间歇性疾病和伤害对这些过渡的影响尚不清楚.
研究的目的:
- 检查干预事件 (疾病,伤害) 如何影响残疾状态和死亡之间的过渡.
- 评估身体虚弱在这些事件相关过渡中的作用.
主要方法:
- 在10年内对754名社区居住的老年人 (≥70岁) 进行前性队列研究.
- 每月的电话采访评估了残疾和干预事件 (住院治疗,活动限制).
- 身体脆弱性定期通过步行速度进行评估.
主要成果:
- 住院治疗强烈预测了9种过渡中的8种,增加了严重残疾的风险和减缓恢复.
- 活动限制增加了发展或恶化的残疾风险,但没有恢复.
- 身体虚弱放大了中间事件对残疾过渡的影响.
- 与跌倒相关的伤害是导致新的或恶化的残疾的重要原因.
结论:
- 介入的疾病和伤害大大提高了老年人,特别是脆弱的新发或恶化的残疾的风险.
- 住院等严重事件可能会阻碍现有残疾的康复.
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