从虚弱的角度来看,哪个并发症指数更适合老年患者?
Merve Hafızoğlu1, Ezgi Odacı Cömertoğlu2, Yelda Öztürk3
1Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University Medical School, Altındag, Ankara, Turkey. mervehafizoglu@gmail.com.
European geriatric medicine
|August 22, 2023
概括
查尔森并发症指数 (CIRS-G) 有效地预测了老年人的脆弱性,其表现优于其他指数. 然而,没有单一的指数足以进行全面的老年医疗评估.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 临床流行病学临床流行病学
- 健康 结果 研究 研究 结果
背景情况:
- 虚弱是一种严重的老年综合征,与不良健康结果相关,包括死亡率.
- 伴随性疾病指数用于量化疾病负担,但它们与脆弱性维度的关系需要进一步澄清.
- 准确的评估工具对于识别有风险的老年人和定制干预措施至关重要.
研究的目的:
- 调查多种并发症指数与身体,心理和社会脆弱性之间的关联.
- 评估这些指数对社区老年人1年死亡率的预测性表现.
主要方法:
- 对136名社区老年人的横截面分析.
- 使用FRAIL尺度,临床脆弱性尺度 (CFS) 和蒂尔堡脆弱性指标 (TFI) 评估脆弱性.
- 评估了四个并发症指数:累积疾病评级表老年 (CIRS-G),查尔森并发症指数 (ACCI),老年并发症指数 (GIC) 和并发症,残疾和服务指数 (ICED).
主要成果:
- 在CIRS-G和所有三种脆弱性尺度 (FRAIL,CFS,TFI) 以及心理和社会脆弱性组件之间观察到显著的相关性.
- 在所有尺度上,CIRS-G表现出优异的脆弱性预测能力,曲线下的面积 (AUC) 值从0.716到0.765.
- 只有GIC在预测1年死亡率方面显示出显著的结果.
结论:
- CIRS-G是一个有价值的工具,用于预测老年人脆弱的存在.
- 虽然CIRS-G显示出有希望的结果,但对老年人的全面评估不应该依赖于单一的并发症指数.
- 需要进一步的研究来探索各种并发症指数在预测死亡率和指导临床决策方面的有用性.
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