老年人因COVID-19住院后的功能状态:一个队列研究
Pía Izaguirre1, Érica Arakaki1, Jorge Vogt Boero1
1Department of Internal Medicine, Hospital Dr. César Milstein, Buenos Aires, Argentina.
Annals of geriatric medicine and research
|September 6, 2023
概括
住院治疗COVID-19的老年人面临高死亡率和长期功能衰退. 基线状态和ICU入院等因素预测结果不佳,突出显示需要持续支持.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 冠状病毒疾病2019 (COVID-19) 与严重的急性并发症有关.
- 在COVID-19后住院治疗的老年人中,长期功能状态需要评估.
研究的目的:
- 评估COVID-19住院治疗后老年患者的长期功能状态.
- 为了确定与这个人群中的功能限制相关的因素.
主要方法:
- 一项多中心的雄心型队列研究包括60岁以上因COVID-19住院的患者.
- 进行了电话跟踪,以收集功能状态数据.
- 顺序逻辑回归分析了与放电后功能限制相关的因素.
主要成果:
- 在374名老年患者中,55%的患者经历了功能限制,死亡率为28%.
- 低基线功能状态和ICU入院是限制的关键预测因素.
- 男人表现出较低的功能障碍的几率.
结论:
- 老年COVID-19幸存者表现出显著的长期死亡率和功能障碍.
- 出院时的预测因素可以识别需要支持和康复的患者.
- 这项研究强调了对老年人的综合性COVID-19后护理策略的需要.
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