在老社区中脆弱度的不一致 居住多病症患者 - 一项横断研究
Amelie Lindh Mazya1,2, Anna Axmon3, Magnus Sandberg4
1Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Clinical interventions in aging
|October 4, 2023
概括
不同的脆弱性仪器在老年人中产生了不同的结果. 临床脆弱性量表 (CFS) 可能会错过脆弱的女性,可能会推迟对这个脆弱人群的必要护理.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 评估脆弱性对于识别需要综合护理的老年人至关重要.
- 各种脆弱性评估工具之间存在差异,导致分类不重叠.
- 了解这些差异对于准确的患者分层至关重要.
研究的目的:
- 评估具有多种疾病的老年人的社会人口因素,认知能力,功能状态和生活质量.
- 将五种脆弱性仪器之间的不一致分类进行比较,重点是临床脆弱性尺度 (CFS) 和弗里德的脆弱性表型 (FP).
主要方法:
- 75岁及以上社区居民的横截面研究.
- 纳入标准:18个月内≥3次紧急诊所访问和≥3次ICD-10诊断.
- 使用CFS,FP,短物理性能电池 (SPPB),握力和步行速度来评估脆弱性.
主要成果:
- 软弱的发病率在各种仪器上有很大的差异 (CFS为34%,SPPB为75%).
- 71%的参与者有不一致的脆弱分类.
- 患有CFS但不患有其他疾病的个体表现出较低的认知能力和功能;患有FP但不患有CFS的个体更常是单独生活的女性,认知能力和功能更高.
结论:
- 临床虚弱度量表 (CFS) 可能不足以识别具有多种疾病的身体虚弱的老年女性.
- 这种不充分识别可能会推迟对这些人的基本护理.
- 需要进一步的研究来完善各种老年人群的脆弱性评估.
相关概念视频
01:18Factors Affecting Illness
4.3K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.3K
01:21Dimensions of Health and Illness
7.4K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.4K
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
01:29Bias in Epidemiological Studies
339
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
339
01:27Confounding in Epidemiological Studies
188
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This...
188
01:26Heart Failure III: Clinical Manifestations
22
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
22