老年患者慢性多病症模式的发展轨迹:MTOP研究
Marina Lleal1,2,3, Montserrat Baré4, Susana Herranz5
1Clinical Epidemiology and Cancer Screening Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA), Universitat Autònoma de Barcelona, Sabadell, Spain.
BMC geriatrics
|May 30, 2024
概括
这项研究确定了老年人10年来慢性多病症模式. 了解这些不断变化的模式可以改善老年患者的临床管理和医疗保健规划.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 多种病症显著影响患者的治疗结果,并使临床管理复杂化.
- 识别慢性疾病模式对于有效的医疗保健规划至关重要.
- 对多病态模式的纵向研究很少,限制了预防策略.
研究的目的:
- 在老年患者中识别慢性多病症模式.
- 分析这些模式在过去10年的进展和轨迹.
- 为老龄化人口提供临床管理和医疗保健规划的信息.
主要方法:
- 对3988名65岁以上的患者进行了回顾性观察性研究.
- 模糊的c-means集群分析以确定多病态模式.
- 在基线,前5年和前10年分析的患者轨迹.
主要成果:
- 在10年内,多病症 (≥2种慢性疾病) 的患病率从73.6%增加到98.3%.
- 在10年前,已经确定了6个多发病群,在基线时减少到5个.
- 三个核心集群持续存在:代谢/血管,肌肉骨/疼痛和非特异性.
结论:
- 随着时间的推移,可以识别和跟踪老年人的多病态模式.
- 阐明了个别患者慢性疾病的发展轨迹.
- 纳入这些轨迹可以增强临床决策和医疗保健策略.
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