在进入长期护理机构后,骨折的风险
Tesfahun C Eshetie1, Gillian E Caughey2, Craig Whitehead3
1Registry of Senior Australians, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia; UniSA Clinical & Health Sciences, University of South Australia, Adelaide, South Australia, Australia; UniSA Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Bone
|December 25, 2023
概括
在进入长期护理机构 (LTCF) 的个人中,确定了新的骨折风险因素. 这项研究开发了一种新的骨折预后模型,以改善风险分层和针对性干预措施,以预防这一脆弱人群的骨折.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 公共卫生和流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在长期护理设施 (LTCFs) 中,骨折风险分层对于有针对性的干预至关重要.
- 现有的骨折风险评估工具往往不适合新的LTCF居民.
- 在临界过渡到LTCF时,需要评估风险概况.
研究的目的:
- 为了确定新的长期护理设施居民骨折的预测因素.
- 为这一群体开发一种新的骨折风险预后模型.
- 将新模型的性能与现有的长期护理中骨折风险评估 (FRAiL) 模型进行比较.
主要方法:
- 利用澳大利亚老年人登记册 (ROSA) 历史国家队列,整合健康和老年护理数据.
- 分析了来自65岁以上的个人进入澳大利亚三个州的2079个设施的数据 (2009-2016).
- 使用弹性网和细灰模型开发了骨折预后模型,通过AUC与FRAiL模型比较AUC的歧视.
主要成果:
- 研究了238,782人;7.2%的人在LTCF入伍后365天内发生骨折.
- 确定的主要预测因素包括复杂的医疗保健需求,营养不良,先前的骨折,高的全科医生出勤率,抗帕金森症药物使用,骨质疏松症,痴呆症和跌倒.
- 开发的模型实现了0.62的AUC,与FRAiL模型 (AUC0.61) 的表现相似.
结论:
- 在过渡到LTCF期间收集的信息对于骨折风险分析非常有价值.
- 确定了新的重大骨折预测因素,包括医疗保健利用率和特定药物.
- 这些发现支持利用过渡数据改善LTCF居民骨折风险评估.
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