老年人的心血管疾病和跌倒:系统性审查和元分析
Robbie Bourke1,2, Paul Doody1,3, Sergio Pérez1,2
1Department of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland.
概括
老年人的跌倒与心血管疾病,如中风和心房动有关. 纳入心血管评估可以帮助预防跌倒,改善患者的治疗结果.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 跌倒是老年人受伤和功能衰退的重要原因.
- 心血管疾病是已确定的风险因素,有助于该人口的下降.
- 本综述系统地检查了心血管疾病与老年人跌倒之间的联系.
研究的目的:
- 评估各种心血管疾病与老年人跌倒的发生率之间的关联.
- 综合来自观察和干预研究的证据.
- 为老年人预防跌倒提供临床指导方针.
主要方法:
- 在MEDLINE和Embase数据库中进行系统搜索,截至2022年12月31日.
- 包括对50岁以上个体的研究,评估心血管疾病和跌倒.
- 利用经过修改的纽卡斯尔-太华和Cochrane Risk of Bias 2工具进行质量评估;进行叙事分析和元分析.
主要成果:
- 包括184项研究 (181项是观察性,3项是干预性).
- 卒中,冠状动脉疾病,膜性心脏病,心律失常和静止性低血压一直与跌倒有关.
- 分析显示,中风 (OR:1.90),外周动脉疾病 (OR:1.82),心房动 (OR:1.52) 和静止性低血压 (OR:1.39) 与跌倒有显著的关联.
结论:
- 多重心血管疾病与老年人的跌倒有显著的关联.
- 临床实践应整合心血管评估来评估跌倒.
- 这些发现有助于制定"世界老年人摔倒指南".
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