心脏代谢障碍是住院老年人脆弱性的重要相关因子
Ganna Kravchenko1, Renata Korycka-Bloch1, Serena S Stephenson1
1Department of Geriatrics, Healthy Aging Research Centre (HARC), Medical University of Lodz, Haller Sqr. No. 1, 90-647 Lodz, Poland.
Nutrients
|September 9, 2023
概括
糖尿病和心力衰竭等常见疾病增加了老年人的脆弱性. 识别这些情况对于管理住院老年患者的功能衰退至关重要.
科学领域:
- 老年学是一门学科.
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 全球老龄化人口对多病症和脆弱性越来越感兴趣.
- 虚弱与老年人多系统衰退和不良结果有关.
- 特定疾病对脆弱性的贡献需要进一步研究.
研究的目的:
- 评估脆弱老年人调查-13 (VES-13) 评分与住院老年人常见的并发病之间的关联.
- 识别独立影响老年人口脆弱性的特定疾病.
主要方法:
- 一项横截面研究包括2860名60岁以上的住院成年人 (平均年龄83岁).
- 脆弱老年人调查-13 (VES-13) 用于测量脆弱性.
- 多重逻辑回归,根据年龄和营养状况进行调整,分析了与VES-13得分的疾病关联.
主要成果:
- 2型糖尿病,冠状动脉疾病,心房动,心力衰竭,慢性病,骨关节炎,骨折,眼睛疾病,抑郁症,痴呆症,压力和尿失禁与更高的VES-13分数有关.
- 脂质乱,胃肠道疾病,较高的BMI和白蛋白水平与较低的VES-13得分有关.
- 这些发现表明,特定的并发症显著影响老年住院患者的脆弱性.
结论:
- 住院的老年人患有糖尿病,心力衰竭和认知障碍等疾病,患有功能衰退的风险更高.
- 这些发现对于老年患者的外科和瘤治疗资格至关重要.
- 了解疾病与虚弱相关的关系,有助于针对性干预和改善老年护理.
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