阶段角作为精神老年期患者机构住院生存的预后指标
Sara Barrera Ortega1, Paz Redondo Del Río2, Laura Carreño Enciso2
1Psycho-Geriatric Area, Assistance Center of San Juan de Dios, 34005 Palencia, Spain.
Nutrients
|July 11, 2023
概括
阶段角 (PhA) 是心理老年患者的有价值的生存预测指标. 较低的PhA表明死亡风险增加,有助于早期临床干预和营养不良的检测.
科学领域:
- 老年学是一门学科.
- 生物物理学的生物物理.
- 临床医学 临床医学
背景情况:
- 阶段角 (PhA) 是各种疾病中已知的生存指标.
- 它在精神老年患者的预后效用仍然未得到充分研究.
研究的目的:
- 评估PhA的临床实用性,作为精神老年病患者医疗机构生存预后指标.
- 在这个人群中探索PhA和死亡风险之间的关联.
主要方法:
- 一项涉及157名住院心理老年患者的生存研究.
- 使用生物电阻分析 (BIA) 来测量PhA的身体组成分析.
- 包括考克斯回归和ROC曲线在内的统计分析,以评估与PhA和其他临床因素相关的死亡风险.
主要成果:
- 较高的Z-PhA,BMI和MNA得分与死亡风险降低有关.
- 死亡风险随着年龄,脆弱性和依赖性而增加.
- 一个Z-PhA切断值为-0.81,确定了患者的死亡风险明显更高 (1.09倍).
- 与痴呆症患者 (89%) 相比,精神分裂症患者的死亡风险较低 (56.5%).
结论:
- 阶段角是心理老年患者生存的临床有用,独立的指标.
- PhA可以帮助识别与疾病相关的营养不良和需要早期临床干预的患者.
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