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步行速度最大节奏的下降预测社区居住的残疾老年人住院治疗.

Tomoya Hirai1, Naoto Kamide2,3, Kyo Shigeta4

  • 1Department of Rehabilitation, Kitasato University Kitasato Institute Hospital, Minato-Ku, Tokyo, 108-8642, Japan. pt-hirait@hiroshima-u.ac.jp.

European geriatric medicine
|May 30, 2023
PubMed
概括

最大步行速度下降预测残疾老年人意外住院. 随着时间的推移,监测最大步行速度的变化是这群人健康管理的关键.

关键词:
年长的老年人.残疾人残疾人残疾人残疾人住院治疗 住院治疗预测 预测 预测 预测步行速度的步行速度.

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科学领域:

  • 老年学是指老年学的学科.
  • 公共卫生 公共卫生
  • 生物医学老年病医学

背景情况:

  • 步行速度是社区居住的老年人住院的已知预测因素.
  • 它对残疾老年人的预测价值仍然不清楚.
  • 为残疾老年人群确定可靠的健康指标至关重要.

研究的目的:

  • 调查社区住所残疾老年人的步行速度和意外住院之间的关联.
  • 为了确定基线步行速度或随时间变化的步行速度是否是更好的预测器.
  • 评估最大与舒适步行速度测量的实用性.

主要方法:

  • 招募了65岁以上的残疾人出院,社区居住的成年人.
  • 舒适和最大步行速度在基线和3个月后被测量.
  • 考克斯回归分析检查了4年间步行速度 (基线和变化) 和住院治疗之间的关联.

主要成果:

  • 在4年内,93名参与者中有47人意外住院.
  • 超过3个月的最大步行速度下降显著预测住院治疗 (HR=2.53).
  • 无论是基线步行速度还是舒适的步行速度都不会降低预测的住院治疗.

结论:

  • 单一时间点的步行速度测量不足以预测残疾老年人住院的情况.
  • 监测最大步行速度的变化是健康管理的一个有价值的指标.
  • 最大步行速度下降是这一人口群中意想不到的住院治疗的重要预测因素.