脆弱性:对临床实践和公共健康的影响
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
概括
虚弱是全球人口老龄化中的一个日益严重的健康问题, 跌倒,住院和死亡的风险增加. 识别和预防脆弱性对于公共卫生和临床实践至关重要.
科学领域:
- 老年学
- 公共卫生
- 临床医学
背景情况:
- 随着人口的老龄化, 脆弱性是一个全球性的健康问题.
- 它涉及生理衰退和增加的脆弱性,导致像跌倒,住院和死亡等不良结果.
- 脆弱性与更高的医疗费用和利用率有关.
研究的目的:
- 提供全球脆弱性影响和负担的概述.
- 讨论脆弱概念在临床实践中的实用性.
- 确定预防脆弱性的潜在目标和未来的研究方向.
主要方法:
- 本系列论文综合了现有的文献和专家知识.
- 它回顾了全球患病率,危险因素和脆弱的后果.
- 这篇论文讨论了脆弱性评估在各种护理环境中的应用.
主要成果:
- 老年人患有脆弱性,伴随疾病,低社会经济地位,不良饮食和久坐的生活方式的人面临更高的风险.
- 有可能改变的风险因素为干预提供了目标.
- 尽管在护理中越来越多地使用它,但仍然缺乏标准化的脆弱性识别工具.
结论:
- 脆弱性是一个巨大的挑战,需要综合的临床和公共卫生策略.
- 早期发现和干预是减轻不良结果和减少医疗负担的关键.
- 需要进一步研究以建立标准化的评估工具和有效的预防策略.
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