多维脆弱性作为老年人死亡率的预测因素:系统性审查和元分析
Wei Liu1, Rixin Qin1, Yiming Qiu2
1School of Nursing, Beihua University, 3999 Binjiang East Road, Jilin, 132013, China.
BMC geriatrics
|September 28, 2024
概括
多维脆弱和脆弱前期显著预测了老年人的死亡风险. 这一系统性审查和元分析强调脆弱性是影响生存结果的关键因素.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 脆弱性是老龄化人口日益关注的问题,影响健康结果.
- 了解虚弱与死亡率的联系对于老年护理和公共卫生战略至关重要.
研究的目的:
- 系统地审查和对现有研究进行元分析,研究多维脆弱性/前脆弱性与老年人死亡风险之间的关联.
主要方法:
- 在五个数据库 (Web of Science,CINAHL,PubMed,Cochrane,Embase) 进行系统的文献搜索,截至2023年1月2日.
- 包括对象群/纵向研究,评估老年人的多维脆弱性/脆弱性和死亡率.
- 使用QUIPS工具进行质量评估,使用STATA 15.0.0进行元分析.
主要成果:
- 包含了24项与34,664名参与者的研究,在2012-2022年期间发表.
- 多维虚弱显著预测死亡率 (HR=5.48,P<0.001) 和是一个危险因素 (OR=4.59,P<0.05).
- 多维脆弱性也显著预测了死亡率 (HR=2.56,P<0.001).
结论:
- 多维虚弱和虚弱前期是老年人死亡率的重要预测因素.
- 建议对社区居民和养老院进行进一步的研究,以扩大理解.
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