在老年人中,中风后疲劳的患病率,轨迹和预测因素
Hongmei Huang1, Mengxia Lu2, Jinghui Zhong1
1Department of Neurology, Centre for Leading Medicine and Advanced Technologies of IHM, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, China.
Archives of physical medicine and rehabilitation
|December 4, 2024
概括
在老年人中,中风后疲劳很常见,在12个月内观察到不同的恢复模式. 年龄,抑郁和中风严重程度等因素预测持续的高疲劳.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 脑卒中后疲劳是影响老年人的普遍和衰弱的疾病.
- 了解它的轨迹和预测因素对于有效管理至关重要.
研究的目的:
- 为了调查患病率,确定不同的轨迹,并确定首次缺血性中风后老年人的中风后疲劳预测因素.
主要方法:
- 一项纵向观察队列研究,涉及381名65岁以上的患者,他们在第一次缺血性中风后.
- 疲劳严重程度尺度用于入院,3个月和12个月的评估.
- 增长混合模型确定了疲劳轨迹,分析了关联的基线变量.
主要成果:
- 临床疲劳的患病率从入院时的39.11%下降到12个月后的22.31%.
- 确定了五种不同的疲劳轨迹,近一半的人经历了持续的低疲劳.
- 老年,较低的社会支持,体力活动减少,较高的抑郁/焦虑,认知障碍和中风严重程度预测了持续的高疲劳.
结论:
- 在老年人中,中风后疲劳进展存在显著的异质性.
- 需要进一步的研究来将疲劳轨迹与结果联系起来,并制定定制的治疗策略.
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