定时启动测试和随后的肺炎之间的关联:一个队列研究
Hyo Jin Lee1, Sohee Oh2, Hyun Woo Lee1
1Division of Respiratory and Critical Care, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea.
PloS one
|January 5, 2024
概括
在这项研究中,用于老年人查萨科佩尼亚的定时起动 (TUG) 测试没有预测未来的肺炎或需要呼吸机护理. 这些发现表明,TUG可能不是老年人这些结果的可靠预测指标.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 老年人肺炎的重要风险因素是萨科佩尼亚,可以使用定时起飞 (TUG) 测试进行查.
- TUG测试评估步行速度和功能移动性,这是老年人肌肉健康和整体身体功能的指标.
- 肺炎和机械通风的需要对老年人口构成严重的健康问题,需要有效的查和预测工具.
研究的目的:
- 调查定时启动测试 (TUG) 结果与未来肺炎发病率之间的关联.
- 评估TUG测试表现与老年人呼吸器护理需求之间的关系.
- 确定TUG测试对社区居住的老年人呼吸系统不良结果的预测效用.
主要方法:
- 从国家健康保险服务-高级队列数据库中确定了一组19804名66岁无神经疾病的人群.
- 参与者接受了TUG测试,步态异常被定义为10秒或更长的TUG时间.
- 从2007年到2015年,使用ICD-10和医疗保健通用程序编码系统代码追踪了肺炎和呼吸机护理的发生情况.
主要成果:
- 在平均7.4年的随访期间,肺炎的发病率在正常 (38/1000人年) 和慢 TUG 组 (39.5/1000人年) 之间是相似的.
- 缓慢的TUG组没有显示出肺炎的显著更高风险 (调整后危险比率[aHR],1.042;95% CI,0.988-1.107).
- 呼吸器护理的发病率也相似 (每1000人/年4.7对5.2),缓慢的TUG组没有观察到增加的风险 (aHR,1.136;95% CI,0.947-1.363).
结论:
- 在社区居住的老年人中,定时升级测试结果与未来肺炎风险或需要呼吸机护理的需求没有关联.
- 尽管TUG测试在 Sarcopenia查中使用,但它可能不是一个适合预测这一群体肺炎的工具.
- 需要进一步的研究来确定可替代的功能评估工具,这些工具可以有效地预测老年人与肉症相关的肺炎风险.
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