气喘限制了非常老年人的劳动力:来自纽卡斯尔85+研究的发现
Miriam J Johnson1, Lukas Pitel2, David C Currow3
1Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Age and ageing
|September 2, 2023
概括
呼吸困难影响23%的老年人,与并发症和较差的健康结果有关. 它的患病率随着时间的推移而下降,这可能是由于更生病的个体的死亡率.
科学领域:
- 老年学是指老年学的学科.
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
背景情况:
- 长期呼吸困难与衰老是常见的,但其在最老的老年人 (85岁以上) 中的患病率和影响尚不清楚.
- 对于有针对性的医疗保健干预来说,了解这个人口群体中的呼吸困难至关重要.
研究的目的:
- 为了估计85岁以上的个体中呼吸困难限制运动的患病率.
- 为了识别与呼吸困难相关的特征,限制炼.
- 为了确定呼吸困难是否限制了炼,解释了临床和社会/功能结果.
主要方法:
- 利用了来自纽卡斯尔85+研究队列的数据,检查了基线和60个月后续数据.
- 使用描述性统计和横截面回归模型来分析健康和社会人口特征.
- 包括817名参与者与基线呼吸困难数据.
主要成果:
- 在基线时,23%的患者经历了呼吸困难限制运动,9%的患者经历了严重的限制. 这一比例在60个月后分别下降到20%和5%.
- 相关因素包括并发病,呼吸系统疾病和心血管疾病.
- 严重的呼吸困难与自我评估的健康状况较差,抑郁症,增加初级保健访问和住院治疗有关.
结论:
- 由于心肺呼吸系统疾病患者的死亡率,这个队列中的患病率可能会随着时间的推移而降低.
- 严重的喘息严重影响服务利用率和老年人的整体幸福感.
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