衰弱患者中老年综合征的发生率和死亡风险
O N Tkacheva1, N V Sharashkina1, K A Eruslanova1
1Russian Gerontology Clinical Research Center, Ministry of Healthcare of the Russian Federation, Pirogov Russian National Research Medical University, Moscow, Russia.
在莫斯科接受家庭护理的脆弱患者的死亡率为22.4%. 老年综合征,营养不良和听力障碍与这些患者的死亡风险增加有关.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 俄罗斯人口老龄化需要专注于健康老龄化和残疾预防.
- 老年综合征和并发症显著影响老年人的健康结果.
研究的目的:
- 在莫斯科接受家庭医疗护理的脆弱患者中调查老年综合征,并发症和死亡率之间的关联.
- 为了确定这种脆弱人群中死亡的风险因素.
主要方法:
- 从2019年6月到2021年4月,研究了一组450名在莫斯科接受家庭医疗护理的患者.
- 综合老年学评估 (CGA) 评估了身体,功能,认知,社会和情绪状态.
- 评估了一年的全因死亡率.
主要成果:
- 一年内全因死亡率为22.4%.
- 与幸存者相比,已故患者患老年综合征的患病率较高,年龄或并发症没有显著差异.
- 贫血,营养不良,听力障碍和严重的功能依赖 (巴塞尔指数<60) 与死亡风险增加有关.
结论:
- 老年综合征是接受家庭护理的脆弱患者死亡率的重要预测因素.
- 早期识别和管理营养不良和听力障碍等疾病对于改善这一群体的结果至关重要.
- 对于风险分层和家庭护理机构的有针对性的干预措施来说,全面的老年病学评估至关重要.
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