虚弱和术后妄想影响部骨折患者的功能状态:GIOG 2.0研究
Chiara Maria Gandossi1, Antonella Zambon2,3, Maria Cristina Ferrara4
1School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy.
Aging clinical and experimental research
|August 5, 2023
概括
虚弱和手术后 Delirium (POD) 显著损害部骨折患者的功能恢复. 它们的组合导致在出院和4个月后期更糟糕的结果.
科学领域:
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
- 神经科学是一个神经科学.
背景情况:
- 骨折 (HF) 是老年人功能衰退的常见原因.
- 虚弱和手术后 Delirium (POD) 是 HF 患者不良结果的重要风险因素.
- 了解它们的综合影响对于改善患者护理至关重要.
研究的目的:
- 分析脆弱性和POD对部骨折患者功能状况的影响.
- 评估医院出院和4个月后随访的结果.
- 为了确定POD是否会加剧脆弱对功能恢复的影响.
主要方法:
- 多中心前性观察性研究,对984名患有部骨折的老年患者进行了研究.
- 在入院时使用26项脆弱性指数 (FI) 评估脆弱性.
- 使用4AT评估的术后狂妄症 (POD);通过累积行走得分 (CAS) 测量功能状态.
主要成果:
- 48.7%的患者身体虚弱,31.6%患有POD,15.6%患有两种情况.
- 单独的虚弱 (RR 1.56) 和与POD (RR 2.57) 相结合,与出院时的功能状况不佳有关.
- 虚弱和POD的组合显著增加了4个月后的不良结果的风险 (RR 3.65) 与仅仅虚弱 (RR 2.38) 相比.
结论:
- 手术后狂妄症 (POD) 显著加剧了骨骨折患者对功能结果的脆弱性的负面影响.
- 早期识别和管理脆弱性和POD对于优化恢复至关重要.
- 这凸显了对整合性正经老年护理途径的需求.
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