在社区获得的肺炎患者中与临床关联的因素:一个横截面研究
Yasunori Imaoka1, Osamu Hataji2
1Department of Rehabilitation, Matsusaka Municipal Hospital, Tonomachi, 1550, Matsusaka, Mie, 515-8544, Japan.
Respiratory investigation
|August 28, 2024
概括
虚弱显著与长有关,与年龄相关的吞下降,在社区获得性肺炎 (CAP) 的老年人中. 对于有效的干预措施来说,对CAP患者的长症进行全面评估至关重要.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 内部医学 内部医学
背景情况:
- 与年龄相关的吞能力下降,即长,是吞障碍的前体,增加了吸入性肺炎和营养不良的风险.
- 这项研究研究了在被诊断为社区获得性肺炎 (CAP) 的患者中与临床关联的因素.
研究的目的:
- 为了确定与老年CAP患者的临床关联的因素.
- 了解这一群体中吞困难与其他健康状况之间的关系.
主要方法:
- 一项横截面研究涉及80名接受急症医院治疗的CAP患者 (≥65岁).
- 使用10项饮食评估工具评估了长症,包括握力,BMI,Mini-Cog©,唾液吞,舌头压力,肉症和脆弱性评估.
- 使用后勤回归分析来确定与长相关的因素,并根据年龄和性别进行调整.
主要成果:
- 在CAP患者中,有55% (44分之80) 患者表现出前性.
- 长症组年龄较大,巴塞尔指数得分较低,脑血管事故史,肉症和虚弱的患病率更高.
- 虚弱与大脑衰竭有显著的关联 (调整后的几率比:3.106;p=0.024).
结论:
- 在患有CAP的患者中,前和虚弱之间存在显著的关联.
- 长和虚弱之间的相互作用表明多因素的原因,而不是单个下降.
- 针对CAP患者的有针对性的干预措施,全面评估presbyphagia是必要的.
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