老年人中食后低血压的发生率:系统性审查和元分析
Lei Huang1, Sheyu Li2, Xiaofeng Xie1
1West China School of Nursing/Nursing Key Laboratory of Sichuan Province/Innovation Center of Nursing Research/West China Hospital, Sichuan University, 37, Guoxue Alley, Chengdu, Sichuan, 610041, China.
Age and ageing
|February 27, 2024
概括
餐后低血压 (PPH) 影响超过40%的老年人,增加了跌倒和心血管事件的风险. 这一元分析强调PPH是一种常见的疾病,需要标准化的诊断标准.
科学领域:
- 老年学是一门学科.
- 心血管医学 心血管医学
- 公共卫生 公共卫生
背景情况:
- 餐后低血压 (PPH) 是老年人的一个重大问题,与跌倒,昏迷,中风和死亡率的风险增加有关.
- 由于研究方法和诊断标准的差异,这群人群中PPH的实际患病率尚不清楚.
研究的目的:
- 确定老年成人人口中食后低血压的总体患病率.
- 综合现有研究,以提供更准确的PPH流行率估计在不同的护理环境.
主要方法:
- 在主要数据库 (Web of Science,PubMed,Cochrane Library,Embase,CINAHL) 进行了全面的文献搜索,截至2023年2月.
- 符合条件的研究使用关键词与食后低血压和老年人相关的关键词被确定.
- 对13项涉及3021名参与者的研究数据进行了元分析,使用Joanna Briggs Institute工具进行了质量评估.
主要成果:
- 在老年人中,PPH的综合患病率为40.5% (95% CI:0.290-0.519).
- 患病率因环境而异:社区32.8%,长期护理机构39.4%,医院老年病科49.3%.
- 观察到显著的异质性 (I2 > 90%),可能是由于参与者的人口统计和诊断方法的差异.
结论:
- 餐后低血压是老年人中非常普遍的疾病.
- 建议进行进一步的研究,以验证这些发现,并就PPH的诊断标准和程序建立国际共识.
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