嗅觉障碍和脆弱性:一个系统的审查和元分析
Brian Sheng Yep Yeo1, Jun He Chan1, Benjamin Kye Jyn Tan1
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
JAMA otolaryngology-- head & neck surgery
|July 11, 2024
概括
嗅觉障碍 (OI) 与老年人脆弱的可能性更高有关. 这项系统性审查发现,虚弱状态恶化显著增加了嗅觉障碍的几率,这表明OI可能是一个生物标志物.
科学领域:
- 老年学是指老年学的学科.
- 临床医学 临床医学
- 流行病学 流行病学
背景情况:
- 嗅觉障碍 (OI) 和脆弱性在老年人群中很常见.
- 之前关于OI和虚弱之间的关联的研究已经产生了不一致的结果.
研究的目的:
- 系统地审查和综合有关嗅觉障碍和脆弱性之间关联的现有证据.
主要方法:
- 进行了观察性研究的元分析,包括PubMed,Embase,Cochrane图书馆,SCOPUS和CINAHL到2023年11月的数据.
- 分析了10项涉及10624名参与者的研究.
- 使用随机效应模型将最大调整的估计值组合起来,使用I2值评估异质性.
主要成果:
- 嗅觉障碍与脆弱的几率增加2.32倍有关.
- 嗅觉障碍的几率随着脆弱状态的逐渐增加:脆弱前的1.55倍,脆弱的2.28倍和最严重的脆弱的4.67倍.
- 小组和灵敏度分析证实了这些发现的稳定性.
结论:
- 嗅觉障碍和脆弱性之间存在显著的关联.
- 嗅觉障碍可能成为脆弱性的潜在生物标志物.
- 需要进一步的研究来探索嗅觉障碍是否是脆弱性的可修改风险因素.
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