在患有先天性心脏病的中年和老年人中,虚弱和认知功能
Bo Daelman1, Liesbet Van Bulck2, Koen Luyckx3
1KU Leuven Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven, Belgium.
Journal of the American College of Cardiology
|March 20, 2024
概括
患有先天性心脏病 (CHD) 的老年人经常经历虚弱和认知衰退,影响他们的健康. 对这些情况的早期评估对于改善这个不断增长的人口的寿命和生活质量至关重要.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
背景情况:
- 患有先天性心脏病 (CHD) 患者的预期寿命增加导致人口老龄化.
- 患有心血管疾病的老年人面临更高的发病率,医疗保健利用率和死亡率.
- 了解不断变化的医疗和心理社会挑战对于维持寿命和生活质量至关重要.
研究的目的:
- 描述中年和老年患有心脏病的成年人的虚弱和认知特征.
- 为了确定虚弱和认知功能障碍的预测变量.
- 探索脆弱性,认知功能和医疗保健利用 (住院,门诊) 之间的关系.
主要方法:
- 这是一项横截面的多中心研究,涉及来自11个国家的814名40岁及以上的患者.
- 使用弗里德方法评估的脆弱性表型.
- 使用蒙特利尔认知评估评估的认知功能.
主要成果:
- 52.3%是强壮的,41.9%是脆弱的,5.8%是脆弱的;38.8%的认知功能障碍.
- 与年龄较大,女性性别,更高的生理学阶级和并发症相关的脆弱性.
- 轻度心脏缺陷与更高的骨折前期相关;较低的国家收入与更高的骨折前期和认知功能障碍相关.
结论:
- 几乎一半的患者是 (前) 脆弱的,超过三分之一的患者有认知障碍.
- 虚弱和认知功能障碍甚至存在于轻度心脏病患者中.
- 对于这个老龄化的人群,建议对脆弱性和认知进行常规评估.
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