在康复病房的老年患者中 Sarcopenia 的患病率
Luigia Brugliera1, Alessandra Giordani1, Giuseppe D'Angelo2
1Department of Rehabilitation and Functional Recovery, I.R.C.C.S. San Raffaele Scientific Institute, Vita-Salute University and San Raffaele Hospital Milan, 20132 Milan, Italy.
Journal of personalized medicine
|June 28, 2023
概括
肉症是一种肌肉损失状况,影响了近一半的老年神经康复患者. 麻症患者的认知能力下降较大,日常生活自主性降低.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 在住院的老年人中,早期识别肉类症至关重要.
- 经过验证的尺度表和多学科评估是关键工具.
- 萨科佩尼亚会影响患者的治疗结果和康复的有效性.
研究的目的:
- 为了确定65岁以上的病人接受神经康复部门的麻症的患病率.
- 在这个患者群体中识别与肉类相关的因素.
- 为了研究缩症和认知/功能状态之间的关系.
主要方法:
- 对336名患者 (2019-2020年) 的回顾性研究,他们接受了认知运动和功能运动康复治疗.
- 使用了欧洲老年肉病工作组 (EWGSOP2) 算法进行诊断.
- 评估认知功能 (MMSE,MOCA),自主性 (巴特尔指数) 和营养风险 (必须).
主要成果:
- 在161名患者 (47.9%) 中检测到确定的肉类.
- 麻症患者年龄较大 (中位数为81岁而不是79岁),BMI较低.
- 麻症与自主性降低 (巴特尔指数) 和认知障碍 (MMSE,MOCA) 的增加相关.
结论:
- 在神经康复治疗中,近一半的老年患者表现出肉症.
- 萨科佩尼亚与较差的认知功能和在日常活动中减少的独立性有关.
- 尽管有肉症,但大多数患者的营养不良查测试 (MUST) 结果为负.
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