手握强度作为诊断工具,用于老年中度至重度喘患者的虚弱风险
Ricardo G Figueiredo1,2, Fernando Holguin3, Marcia Pizzichini4
1. Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual de Feira de Santana - PPGSC-UEFS - Feira de Santana (BA) Brasil.
手握强度 (HGS) 是确定老年喘患者脆弱风险的可靠工具. 这种简单的测试可以帮助临床医生评估患有喘的老年人在护理点的潜在脆弱性.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 喘是一种慢性呼吸道疾病,影响全球数百万人,老年人经常经历严重程度增加和并发症.
- 虚弱是一种老年综合征,其特点是生理储备下降和脆弱性增加,严重影响老年人群的健康状况.
- 早期识别虚弱风险对于及时干预和改善喘等慢性疾病的老年人管理至关重要.
研究的目的:
- 评估手握强度 (HGS) 作为诊断标志物用于诊断中度至重度喘的老年患者的虚弱风险的实用性.
- 为了确定患有喘的老年人这一特定群体中的脆弱性患病率.
- 评估HGS诊断准确度,识别有脆弱风险的个体.
主要方法:
- 进行了一项横截面研究,涉及96名60岁及以上的中度至重度喘患者.
- 使用校准的液压手动动力表测量了手握强度.
- 使用标准化脆弱性尺度评估脆弱性,使用曲线下的面积 (AUC) 评估HGS的诊断准确性.
主要成果:
- 研究人口的平均年龄为67岁,其中大多数是女性 (78%) 和来自低社会经济地位的非白人 (91%) 种族背景.
- 手握强度在识别脆弱风险方面表现出显著的诊断准确性,AUC为71.6% (p < 0.002).
- 截止值HGS值≤19kgf产生了73.58%的灵敏度和67.53%的特异性来检测脆弱风险.
结论:
- 手握强度 (HGS) 是临床医生评估老年喘患者虚弱风险的实用和可靠工具.
- 在护理场所,HGS测试可以有效地实施,以快速查这一群体的脆弱性.
- 将HGS测量纳入常规临床实践可能有助于在患有喘的老年人中早期发现和管理虚弱.
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