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临床脆弱度作为老年住院患者缺食症风险评估工具:一项跨部门研究
Min-Gu Kang1, Sunghwan Ji2, Young Ki Park2,3
1Department of Internal Medicine, Chonnam National University Bitgoeul Hospital, Gwangju, Korea.
Annals of geriatric medicine and research
|July 10, 2023
概括
临床脆弱度量 (CFS) 有效地选老年住院患者的消化不良风险. 5或更高的CFS得分表明吞困难的可能性很高,有助于临床管理.
科学领域:
- 老年病的医生 老年病的医生
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 缺食症是老年人中普遍存在的疾病,具有严重的健康风险,如营养不良和肺炎.
- 在这个人群中查失消症存在挑战,需要可靠的评估工具.
研究的目的:
- 评估使用临床虚弱度量表 (CFS) 作为老年住院患者消化不良风险评估工具的可行性.
- 为了确定虚弱状态 (CFS) 和消化不良风险 (EAT-10分数) 之间的关系.
主要方法:
- 一项涉及131名进入急症病房的老年患者 (≥65岁) 的横截面研究.
- 使用饮食评估工具-10 (EAT-10) 来识别消化不良风险和临床虚弱度表 (CFS) 来评估虚弱度.
- 分析了EAT-10分数和CFS状态之间的关联,根据年龄和性别进行调整.
主要成果:
- 在更高的CFS得分和更高的食障碍风险 (EAT-10得分≥3) 之间发现了显著的关联,赔率比为1.48.
- 慢性疲劳症在分类失风险方面表现出适度的准确性 (AUC=0.650).
- 一个CFS截止分数为5的预测EAT-10分数≥3与82.8%的灵敏度和46.1%的特异性.
结论:
- 临床脆弱度量 (CFS) 作为一种切实可行的工具,用于查老年住院患者的失风险.
- 使用CFS可以指导临床决策关于药物治疗,营养,水分和进一步的食障碍评估.
- 这种方法支持主动管理,以减轻未经治疗的消症的严重后果.
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