老年患者脱水的患病率,危险因素和临床影响:一个横截面研究
Kubra Atciyurt1, Cihan Heybeli2, Lee Smith3
1Division of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Acta clinica Belgica
|October 29, 2023
概括
脱水在老年人中很普遍,影响了31%的受试者. 它与依赖性增加,可能的肉症和更高的跌倒风险有关,突出显示了对查和预防的需要.
科学领域:
- 老年医学 老年医学
- 内部医学 内部医学
- 临床营养学 临床营养学
背景情况:
- 充足的水分对生理功能至关重要,特别是在老年人中.
- 老年人的脱水经常被忽视,可能会对健康产生重大影响.
- 这项研究调查了这种人群中脱水的患病率,危险因素和临床结果.
研究的目的:
- 确定在老年门诊的老年人中脱水的患病率.
- 在这个人口群体中确定与脱水相关的危险因素.
- 检查脱水的临床影响,包括其与功能状态和跌倒风险的关联.
主要方法:
- 进行了一项涉及964名老年人的横截面研究.
- 脱水是由血度值 (≥295 mOsm/L) 定义的.
- 使用后勤回归分析来确定脱水的预测因素及其与临床结果的关联.
主要成果:
- 在参与者中,脱水的患病率为31%.
- 脱水的老年人更有可能是女性,患有糖尿病 (DM) 和慢性功能衰竭 (CKD).
- 脱水与跌倒风险增加,可能的肉症和对日常生活活动的依赖 (BADL和IADL) 有着显著的关联.
结论:
- 脱水是老年人常见的问题,与不良结果有关.
- 这些发现表明,对脱水的查和实施预防策略至关重要.
- 解决脱水问题可以帮助减轻老年人落和功能衰退等风险.
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