运动干预和与医院相关的残疾:非随机对照临床试验
Carlos Rodriguez-Lopez1,2, Jennifer Mayordomo-Cava1,2, Teresa Zarralanga-Lasobras2
1Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable, Instituto de Salud Carlos III, Madrid, Spain.
JAMA network open
|February 8, 2024
概括
根据卡茨指数,住院运动和健康教育干预措施并没有显著减少医院相关残疾 (HAD). 然而,该干预措施在二次结局方面显示出好处,这表明了老年住院患者的潜在价值.
科学领域:
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 与医院相关的残疾 (HAD) 对老年人来说是一个重大问题,影响他们的出院后的健康.
- 住院运动干预措施在预防HAD和改善长期结果方面的有效性尚不清楚.
研究的目的:
- 调查联合运动和健康教育计划与老年人医院相关残疾 (HAD) 发生率之间的关联.
- 评估干预对二次结果的影响,包括功能能力和身体表现,在放弃和放弃后3个月.
主要方法:
- 一个单中心,开放标签,非随机对照试验,涉及260名75岁及以上的患者.
- 干预组接受了通常的护理加上监督的多组分运动计划和健康教育,而对照组接受了通常的护理.
- 使用卡茨指数和巴特尔指数评估了HAD发病率,其次要结果包括门诊能力,身体表现,跌倒,再入院和死亡率.
主要成果:
- 在使用Katz指数在出院或3个月后随访的组之间,没有发现HAD发病率的统计学上显著差异.
- 干预组在出院和随访时,通过巴特尔指数测量时,HAD发病率显著降低.
- 这种干预与出院时的行走能力下降和身体表现改善有关.
结论:
- 虽然主要结果 (通过卡茨指数的HAD发病率) 没有显著改善,但干预措施对二次措施产生了积极影响.
- 这些发现表明,医院内炼和健康教育计划可能为老年住院患者提供临床益处.
- 可能需要进一步的研究来探索这种干预措施的最佳组件和交付.
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