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住院患有慢性病的老年患者的特征:基于多中心横截面研究的老年和非老年慢性病之间的比较
Shuang Liang1, Yong Wang1, Wen-Ling Wang1,2
1Department of Nephrology, First Medical Center of Chinese PLA General Hospital, Nephrology Institute of the Chinese People's Liberation Army, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, Beijing, China.
International urology and nephrology
|July 14, 2023
概括
慢性病 (CKD) 的老年患者面临更高的死亡率和更多的并发病,主要是由糖尿病病和高血压驱动的. 这些因素极大地影响了他们的健康状况.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 是一个重要的全球健康问题.
- 了解老年人中CKD的具体特征和结果对于有针对性的干预措施至关重要.
研究的目的:
- 开展多中心流行病学调查,对患有慢性病的住院患者进行调查.
- 通过将老年CKD患者与非老年CKD患者进行比较,揭示老年CKD的独特特征.
主要方法:
- 对中国18家军事医院 (2009-2011) 的医疗记录进行了回顾性分析.
- 包括380,461名住院患者,其中25,826人被诊断患有CKD.
- 在老年和年轻患者队伍之间对CKD特征的比较分析.
主要成果:
- 老年CKD患者主要受到糖尿病脏病 (24.1%),高血压相关的功能障碍 (20.9%) 和原发性球细胞疾病 (11.1%) 的影响.
- 71.6%的老年CKD患者患有多种并发症,随着年龄的增长而增加.
- 在老年人中,住院死亡率显著高 (3.3%与1.0%相比),年龄,CKD第5期,并发病 (酸化,心血管/脑血管疾病,感染,瘤,痴呆) 被确定为独立的风险因素.
- 老年患者的住院费用较高,住院时间和费用随着伴随疾病负担的增加而增加.
结论:
- 糖尿病病和高血压相关的损伤是导致老年人慢性病的主要原因,与年轻人不同.
- 老年CKD患者表现出更大的并发症负担,与较差的住院结果相关.
- 与年龄相关的因素和并发症显著影响老年CKD患者的死亡率和医疗保健利用率.
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