在老年人中COVID-19住院后的功能性轨迹
Jim Q Ho1, Gail J McAvay2, Terrence E Murphy3
1Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Journal of the American Geriatrics Society
|March 17, 2025
概括
住院治疗COVID-19的老年人经历了六个月的不同功能恢复轨迹. 预先存在的疾病和住院因素显著影响出院后的残疾水平.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 康复医学 康复医学 康复医学
背景情况:
- 在老年人中,COVID-19住院后的功能性轨迹仍然不明.
- 描述长期的功能结果对于这个脆弱的人群至关重要.
研究的目的:
- 在COVID-19住院后,在老年人 (≥60岁) 中识别不同的功能轨迹.
- 评估与六个月的不同功能恢复路径相关的风险因素.
主要方法:
- 隐性类分析用于确定311名老年人的功能轨迹.
- 在15个功能活动中的残疾被评估在退院后的1,3个月和6个月.
- 多项式回归分析了风险因素和轨迹成员之间的关联.
主要成果:
- 确定了四种功能性轨迹:没有 (43%),轻度 (16%),中度 (23%) 和严重 (18%) 的残疾.
- 入院前的残疾人数,住院狂妄症,虚弱,并发症,疾病严重程度和年龄与中度至严重的轨迹有关.
- 医院内妄想和虚弱表现出与严重残疾有很强的关联.
结论:
- 老年COVID-19幸存者表现出不同的功能恢复模式.
- 结果可以为临床决策提供信息,并指导研究可修改的风险因素,以改善住院后的护理.
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