危急疾病,重大手术和其他住院情况以及活跃和残疾人的预期寿命
Thomas M Gill1, Emma X Zang2, Linda Leo-Summers1
1Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|April 3, 2025
概括
干预性疾病和伤害显著降低了老年人活跃寿命. 积极管理和预防这些健康事件可以改善晚年生活中的功能福祉.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 活动和残疾人预期寿命的估计对于有关老年人口功能健康的政策决策至关重要.
- 了解疾病和伤害如何影响这些估计对于有效的公共卫生战略至关重要.
研究的目的:
- 分析间歇性疾病和伤害对老年人活跃和残疾人预期寿命的影响.
- 量化由于严重疾病,住院和外科手术而没有残疾的预期寿命的缩短.
主要方法:
- 一项前性队列研究,涉及754名社区生活,70岁及以上的非残疾人.
- 每月对危急疾病,手术和住院情况的评估.
- 在日常生活的基本活动中每月确认残疾.
- 使用多状态生命表和离散时间马尔科夫过程估计活跃和残疾人的预期寿命.
主要成果:
- 随着越来越多的严重疾病和其他住院病人的增加,活跃寿命显著下降.
- 例如,在70岁时,活跃寿命从没有严重疾病的14.6年下降到3+入院的4.0年.
- 非选择性手术也减少了活跃寿命,而选择性手术没有显示出持续的负面影响.
结论:
- 严重的中间疾病和伤害大大减少了老年人的活跃寿命.
- 预防措施和对这些健康事件的积极管理,以及恢复性护理,可以提高这一人口中的功能福祉.
- 这些发现强调了解决健康事件的重要性,以保持老龄化人口的独立性和生活质量.
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