系统性硬化症患者的脆弱性评估
Claudia Barison1, Elda Piovani1, Liala Moschetti2
1Scleroderma Unit, Rheumatology and Clinical Immunology Unit, ERN ReCONNET Centre, Department of Clinical and Experimental Sciences, ASST Spedali Civili and University of Brescia, Italy.
Clinical and experimental rheumatology
|February 20, 2025
概括
超过一半的系统性硬化症 (SSc) 患者是脆弱的,与器官损伤和并发症有关. 脆弱性评估可以预测SSc患者的住院和死亡,有助于健康规划.
科学领域:
- 类风湿病学 类风湿病学
- 老年病的医生 老年病的医生
- 临床医学 临床医学
背景情况:
- 虚弱是一种减少生理储备的临床综合征,增加对不良结果的脆弱性.
- 系统性硬化症 (SSc) 是一种具有显著发病率的慢性自身免疫性疾病.
- 在60岁以上的SSc患者中,虚弱的患病率和影响尚不清楚.
研究的目的:
- 为了确定老年SSc患者的脆弱性患病率.
- 确定与该人口中的脆弱性相关的人口和临床因素.
- 探索脆弱性对住院和死亡率等不良事件的预测价值.
主要方法:
- 一项横截面研究使用初级保健脆弱性指数 (PC-FI) 评估了169名SSc门诊患者 (年龄大于60岁).
- 伴随性疾病,SSc疾病活性,器官损伤和患者报告的影响使用经过验证的指数进行评估.
- 在85名患者的随访期间,收集了住院和死亡数据.
主要成果:
- 在51.3%的SSc患者中,脆弱性普遍存在,严重程度各不相同.
- 脆弱的患者年龄较大,疾病持续时间较长,并具有较高的并发症和器官损伤得分.
- 多变量分析显示,疾病持续时间和SSc相关的器官损伤是脆弱性得分的独立预测因素.
结论:
- 在老年SSc患者中,脆弱性很常见,并且与SSc相关的器官损伤和并发症有关.
- 在SSc.中,PC-FI显示了预测住院和死亡的潜力.
- 脆弱性评估可以成为SSc护理中健康计划规划的宝贵工具.
相关概念视频
01:29Assessment of the Cardiovascular System II: Inspection
156
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
156
01:27Assessment of the Cardiovascular System III: Palpation
173
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
173
01:23Assessment of the Cardiovascular System I: Subjective Data
261
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
261
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
954
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
954
01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
237
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
237
01:27Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K