急性住院老年人的内在能力
Masaaki Nagae1, Hiroyuki Umegaki2, Hitoshi Komiya2
1Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Aichi, Japan; Department of Emergency Room and General Medicine, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
老年住院患者具有更高的内在能力 (IC) 经历的不良结果较少. 在医院评估IC是可行的,可以指导综合管理,以改善老年住院患者的功能独立性.
科学领域:
- 老年医学 老年医学
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 内在能力 (IC) 涵盖了对老年人健康至关重要的多个领域.
- 在住院的老年患者中评估IC对于预测健康结果很重要.
研究的目的:
- 研究老年人内在能力 (IC) 和不良住院结果之间的关联.
- 为了确定在急性医院环境中评估IC的可行性.
主要方法:
- 对296名65岁以上的老年病房住院患者进行前性观察队列研究.
- 在五个领域 (位置,认知,活力,感官,心理) 评估了IC,以复合分数 (0-10) 进行评估.
- 医院结局包括医院死亡,并发症,住院时间和出院目的地.
主要成果:
- 较高的复合IC得分与减少住院死亡 (OR0.59) 和医院相关并发症 (HACs) (OR0.71) 有关.
- 较高的IC分数与增加的出院回家 (OR 1.50) 和更短的住院时间 (β = -0.24) 相相关.
- 运动,认知和心理领域显著影响了HAC,出院和停留时间.
结论:
- 评估内在能力在医院环境中是可行的,并预测住院结果.
- 建议对老年住院患者进行综合管理策略,以增强功能独立性.
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