性别特异性联系:脆弱性,多药性,抗胆固醇负担和5年死亡风险 - - 一个真实世界的分析
Yin Yi Chou1,2, Yu Shan Lee1,3, Chu Sheng Lin4,5
1Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, Taichung, Taiwan.
脆弱性,多药性和抗胆固醇负担增加了老年人死亡风险,性别差异显著. 脆弱的男性面临着最高的风险,而脆弱的女性更容易受到抗胆固醇负担的影响.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 临床药理学 临床药理学
背景情况:
- 老龄化增加了脆弱性,导致摔倒,住院和死亡率.
- 在老年人中,多药性增加了医疗保健成本和死亡风险.
- 抗胆固醇药物在老年人群中具有显著的不良影响.
研究的目的:
- 调查多药,抗胆固醇负担和脆弱性之间的性别差异.
- 确定这些因素对5年全因死亡率的影响.
- 确定老年人的性别特异性死亡风险.
主要方法:
- 对2077名老年门诊患者 (65岁以上) 的回顾性研究.
- 使用弗里德标准评估的脆弱性.
- 考克斯回归和卡普兰-梅尔曲线分析了5年生存率和风险因素.
主要成果:
- 脆弱性 (44.7%) 和多药性 (60.6%) 是普遍存在的.
- 更高的年龄,男性性别,脆弱性,多药性和抗胆固醇药物负担预测死亡率.
- 脆弱的男性死亡风险最高;多药性药物加剧了这一点.
- 具有较高抗胆固醇负担的脆弱女性的死亡率增加.
结论:
- 多药性和抗胆固醇负担协同增加以性别特定的方式与脆弱性相关的死亡风险.
- 临床医生必须仔细评估老年患者的多药和抗胆固醇负担.
- 考虑到性别差异的有针对性的干预措施对于减轻死亡率至关重要.
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