在COVID-19幸存者中探索 Delirium 和营养不良之间的关联:老年患者的视角
Sarah Damanti1,2, Marta Cilla3, Giordano Vitali2
1Vita Salute University, 20100 Milan, Italy.
Nutrients
|November 25, 2023
概括
住院治疗COVID-19的老年人有 Delirium,营养不良和虚弱的高风险. 这些情况是相互关联的,需要在临床实践中进行查,以获得更好的患者结果.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 临界护理医学 临界护理医学
背景情况:
- 老年人在急性疾病,如COVID-19期间容易患上老年综合征.
- 幸存者可能会经历长期的健康并发症,包括认知和身体衰退.
研究的目的:
- 调查在COVID-19中幸存下来的老年患者的住院狂妄症,营养不良和虚弱之间的联系.
- 确定这些老年综合征在SARS-CoV-2感染后的患病率和相互关系.
主要方法:
- 研究了一组50名65岁及以上的患者,他们因SARS-CoV-2肺炎住院治疗.
- 在医院妄被选使用4'A的测试 (4AT).
- 营养不良是使用营养不良普遍查工具 (MUST) 和迷你营养评估简单表格 (MNA-SF) 来评估的,脆弱是使用脆弱指数来衡量的.
主要成果:
- 26%的患者在医院内发病了妄想.
- 狂妄症与更高的脆弱性,增加的住院死亡率和更大的营养不良症有关,在出院后一个月.
- 在妄,营养不良 (MUST,MNA-SF),虚弱和住院时间之间发现了显著的相关性.
结论:
- 妄想,营养不良和虚弱在COVID-19幸存者中显著相关.
- 在临床实践中,对于这种患者群体,建议对这些老年综合征进行例行查.
- 早期识别和管理这些疾病可能会改善老年COVID-19幸存者的结果.
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