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慢性病第五期患者的脆弱性
Jerry Joseph1, Murugesan Vellaisamy1, Thirumavalavan Subramanian1
1Nephrology, Government Stanley Medical College and Hospital, Chennai, IND.
Cureus
|September 21, 2023
概括
脆弱性影响41%的慢性病5期 (CKD5) 患者,在预透析和透析护理中患病率相似. 老年和糖尿病等并发症显著增加CKD5患者的脆弱风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年病的医生 老年病的医生
- 内部医学 内部医学
背景情况:
- 慢性病5期 (CKD5) 患者的脆弱性是一个重大问题,表明脆弱性增加.
- 了解CKD5患者的患病率和相关脆弱因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定CKD5患者的脆弱性患病率.
- 为了确定与此种人群的脆弱相关的共存因素.
主要方法:
- 一项研究对139名18岁以上的CKD5患者 (透析前和透析前) 进行了研究.
- 使用修改后的弗里德标准来评估脆弱性,包括缓慢,软弱,无意减肥,疲劳和体力活动低.
- 收集了患者病史,临床检查,实验室结果和并发症的数据.
主要成果:
- 在CKD5患者中,虚弱的总体患病率为41%,在预透析 (40%) 和血液透析 (43%) 组中患病率相似.
- 在老年人 (82%) 和糖尿病患者 (75%) 中,虚弱的患病率显著高.
- 与脆弱性的重要关联包括老年,先天性病,,内透性低血压,糖尿病,心力衰竭,冠状动脉疾病和脑血管事故.
结论:
- 在CKD5患者中,脆弱性非常普遍,影响了研究队列的41%.
- 透析治疗没有改变CKD5患者虚弱的患病率.
- 识别和管理相关因素,如晚年,特定的病,胀,低血压和并发病,对于减轻CKD5患者的脆弱性至关重要.
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