成熟和老年人的认知障碍和心血管死亡率之间的关联:元分析
1Department of Geriatrics, Zhongjiang County People's Hospital, Zhongjiang County, Deyang City, Sichuan Province 618100, China.
Experimental gerontology
|April 28, 2024
概括
认知障碍显著增加了老年人心血管死亡风险. 这种风险在女性中显著更高,突出了需要进一步调查的潜在的性别特异性影响.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 认知障碍是老年人群不良健康结果的主要原因之一.
- 了解其与心血管死亡率的联系对于公共卫生至关重要.
- 以前的研究表明存在联系,但需要进行全面的元分析.
研究的目的:
- 研究50岁及以上的成年人认知障碍和心血管死亡率之间的关联.
- 量化认知障碍患者心血管死亡的风险.
- 探索基于性别的这种关联中的潜在差异.
主要方法:
- 通过PubMed,Web of Science和Embase数据库识别的研究进行了系统的元分析.
- 纳入标准集中在普通人口中的成熟和老年人 (≥50岁).
- 调整后的风险估计得到提取并使用随机效应模型进行聚合.
主要成果:
- 分析了10项涉及16765名参与者的研究.
- 认知障碍与75%的心血管死亡风险增加有关 (HR 1.75;95% CI 1.44-2.14).
- 这种关联在女性 (HR 2.40) 中比在男性 (HR 1.49) 中更强,尽管在调整后在两个子组中都没有显著.
结论:
- 认知障碍是成熟和老年人心血管死亡的重要预测因素.
- 认知障碍的预后值可能取决于所使用的评估工具.
- 需要进一步的研究来阐明认知障碍对心血管死亡率的性别特异性影响.
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