在科人群中使用脆弱性评估仪器:一个范围审查
Alice L Kennard1,2, Suzanne Rainsford3, Nicholas J Glasgow3
1Department of Renal Medicine, The Canberra Hospital, Canberra Health Services, Building 15, Yamba Drive, Garran, ACT 2605, Australia. alice.kennard@act.gov.au.
BMC geriatrics
|July 21, 2023
概括
脆弱性在病患者中很常见,但评估有所不同. 最常用的是"炸脆性现象型",脆弱性预测出差结果,突出了对标准化评估的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 老年学是一门学科.
- 临床流行病学 临床流行病学
背景情况:
- 脆弱性是一种加快衰老的综合征,在慢性病 (CKD) 患者中很普遍.
- 由于尚未定义的诊断工具和标准,在病学中对脆弱性的临床评估并不频繁.
- 本综述考察了脏病学人群中的脆弱性评估实践.
研究的目的:
- 审查脏病学中脆弱性评估的现行实践.
- 评估脏疾病人群中脆弱性评估的背景和时间.
- 确定常见的脆弱度指标及其在科研究中的应用.
主要方法:
- 在包括Medline,PubMed和Cochrane图书馆 (2000-2021) 在内的数据库中进行系统的文献搜索.
- 包括164份已发表的关于慢性病,透析或移植患者脆弱性评估的报告.
- 分析研究设计,人群,使用的脆弱性指标和报告的患病率.
主要成果:
- 研究主要来自发达国家,观察设计最常见.
- 弗莱德脆弱现象型是最常用的评估工具.
- 虚弱的患病率差异很大 (慢性脏病的2.8%到血液透析的82%),虚弱预测了患者的不良结果.
结论:
- 在科中,脆弱性的识别和评估正在增加,有助于预后和护理过渡.
- 脆性表型的可行性支持其在临床脏病学中的应用.
- 需要在代表性不足的地区和脆弱性康复干预方面进行进一步的研究.
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