面对危急疾病的老年人的性,生存和功能独立性
Julien Cobert1, Sun Young Jeon2, John Boscardin3
1Anesthesia Service, San Francisco VA Health Care System, San Francisco, CA; Department of Anesthesiology, University of California San Francisco, San Francisco, CA.
Chest
|June 13, 2024
概括
在老年人中,重症监护前单元 (ICU) 弹性与更好的生存和功能独立性在ICU后有关. 更高的弹性没有影响在ICU停留期间或之后的功能衰退率.
科学领域:
- 老年学是一门学科.
- 关键护理医学 关键护理医学
- 心理学 心理学 心理学
背景情况:
- 经过严重疾病的老年人经常面临功能障碍.
- 积极的心理因素,如性,可能会降低重症监护室 (ICU) 后的发病率.
研究的目的:
- 调查ICU前恢复力和ICU后生存之间的关联.
- 检查ICU前性和ICU入院期间和之后的功能独立性变化之间的关系.
主要方法:
- 使用医疗保险相关的健康和退休研究数据 (2006-2018) 进行了回顾性队列研究.
- 包括65岁或以上的成年人进入ICU.
- 在ICU前使用简化弹性评分评估弹性.
- 结果包括生存和功能独立,用Gompertz和联合生存模型进行分析.
主要成果:
- 较高的ICU前性与较低的ICU后死亡风险有关.
- 增强的弹性与功能独立的更大可能性相关,在ICU退院5年后.
- 弹性没有影响在ICU停留期间独立性的下降,也没有影响预测独立性的ICU前与ICU后趋势.
结论:
- 在老年人中,更高的弹性预测了严重疾病后更好的生存率和功能独立性.
- 弹性似乎是预防ICU后长期功能衰退的保护因素.
- 在ICU停留之前和之后,功能衰退的轨迹没有受到弹性水平的显著改变.
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