虚弱,但不是认知障碍,改善了慢性病患者的死亡风险预测 - - 这是一项全国代表性的研究
Jingyao Hong1, Nadia M Chu2, Samuel G Cockey1
1Department of Surgery, NYU Grossman School of Medicine and NYU Langone Health, New York, NY, USA.
BMC nephrology
|May 22, 2024
概括
虚弱,而不是认知障碍,改善了慢性病 (CKD) 的老年人死亡风险预测. 将脆弱性纳入风险工具可以提高对这个脆弱人群的预测.
科学领域:
- 老年学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
- 认知科学 认知科学
背景情况:
- 患有慢性病 (CKD) 的老年人面临高死亡风险.
- 传统的风险因素无法预测CKD患者的死亡率.
- 研究诸如虚弱和认知障碍等老年因素对于改善风险分层至关重要.
研究的目的:
- 评估脆弱性,认知功能及其在有或没有CKD的老年人中共同发生的关联.
- 为了确定虚弱和认知障碍是否能改善CKD的死亡风险预测.
主要方法:
- 分析国家健康和营养检查调查 (2011-2014) 对60岁以上的参与者数据的分析.
- 使用线性回归的物理虚弱表型和全球/特定领域的认知功能之间的量化关联.
- 使用考克斯模型和概率比测试测试死亡率预测的改进,比较具有和没有脆弱性和认知障碍的模型.
主要成果:
- 脆弱与较差的全球和特定领域的认知功能有关,无论CKD状态如何.
- 虚弱和认知障碍的同时发生在患有CKD的个体中更高.
- 脆弱性显著改善了老年CKD患者的死亡风险预测,而认知障碍没有.
结论:
- 虚弱与老年人的认知能力下降有关,这种关系与CKD无关.
- 将脆弱性纳入风险预测模型可以提高CKD患者的死亡率预测.
- 仅仅是认知障碍并没有改善这一群体的死亡率预测.
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