患有心力衰竭的老年患者住院相关残疾的发生率
Tetsuya Takahashi1, Kentaro Iwata1, Tomoyuki Morisawa1
1Committee of the J-Proof HF Registry, Japanese Society of Cardiovascular Physical Therapy.
住院相关残疾 (HAD) 影响了日本37.1%的老年心力衰竭患者. 在这种人群中,早期康复对于管理HAD至关重要.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 心力衰竭 (HF) 是老年人群的重大健康问题.
- 住院相关残疾 (HAD) 是老年患者常见的并发症.
- 了解老年HF患者的HAD发病率和特征对于有效的护理至关重要.
研究的目的:
- 确定日本老年心力衰竭患者住院相关残疾 (HAD) 的发生率.
- 在这个人口群体中确定与HAD相关的特征和风险因素.
- 为老年HF患者实施康复策略提供信息.
主要方法:
- 全国多中心注册表研究 (J-Proof HF) 涉及96个机构.
- 招募了9403名连续心力衰竭患者,年龄≥65岁,接受体力康复治疗.
- 收集了有关患者人口统计,并发症,入院前功能状态 (巴特尔指数,基洪检查表) 和功能分类 (纽约心脏协会) 的数据.
主要成果:
- 37.1%的受试患者 (3,488/9,403) 经历过HAD.
- HAD组年龄较大,患高血压,慢性脏病和脑血管疾病的比例较高.
- 在接受治疗前的功能状态 (较低的巴塞尔指数,较高的基洪检查清单) 在HAD组显著恶化.
- 预测HAD的预测因患者入院前的巴塞尔指数分数 (≥85和<85) 而有所不同.
结论:
- 在日本,在老年心力衰竭患者中观察到HAD的高发病率 (37.1%).
- 患有HAD的患者可接受康复期康复治疗.
- 在日本,建议对老年心力衰竭患者进行广泛的康复治疗.
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