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一项针对老年人运动限制多学科干预的随机对照试验 (M-MobiLE) 的协议

Guanzhen Wang¹, Li Zhang¹, Tong Ji¹

¹Department of Geriatrics, National Clinical Research Center for Geriatric Disorders, Xuanwu Hospital Capital Medical University, Beijing, China.

|August 8, 2023

概括

本研究研究了一种多学科团队 (MDT) 方法来管理老年人的运动限制. 该M-MobiLE试验旨在改善移动性,并减少老年患者的不良结果.

科学领域:

老年病的医生老年病的医生
临床医学临床医学
康复科学康复科学康复科学

背景情况:

运动限制是老年人常见的老年综合征,通常是残疾之前.
它的复杂性和多因素影响对单干预疗法构成挑战.
目前的医院实践往往缺乏综合诊断和多学科的管理,以限制运动.

研究的目的:

探索多学科团队 (MDT) 决策干预措施的有效性,以管理老年住院患者的运动限制.
评估以运动为中心的个性化MDT方法对具有移动性问题的老年患者的影响.

主要方法:

一个多中心的,随机的,受控的试验 (M-MobiLE研究) 涉及至少66名老年住院患者的移动性限制.
干预组接受以运动为中心的个性化MDT治疗;对照组接受标准护理.
综合性评估包括SPPB,ADL,FIST,GDS-15,SF-12,脆弱,跌倒风险,认知和营养状况.

主要成果:

主要结果:短物理性能电池 (SPPB) 评分的变化.
二次结果:改善了SF-12,ADL,FIST,MMSE,MNA-SF和内在能力.
二次结果:GDS-15和SARC-CalF得分的降低.

结论:

结果将为MDT决策的临床途径的开发提供信息,在有限流动性的住院患者.
该MDT战略旨在改善老年人的流动性,减少老年人的跌倒,虚弱和死亡率.
这种方法的实施可能会使治疗标准化,改善预后,提高生活质量.

关键词:

限制移动性的限制多学科团队是一个多学科团队.年龄较大的成年人.随机对照研究是随机对照研究.治疗方法治疗方法

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