退院后的COVID-19症状预测1年的功能衰退,跌倒和紧急部门的访问:一个队列研究
Murilo Bacchini Dias1, Thiago J Avelino-Silva1,2, Eduardo Ferriolli1
1Laboratorio de Investigação Medica em Envelhecimento (LIM-66), Serviço de Geriatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Journal of the American Geriatrics Society
|May 9, 2025
概括
在COVID-19住院后持续的症状在老年人中很常见,导致显著的功能下降,跌倒和急诊室的访问. 解决症状负担是改善出院后护理和风险识别的关键.
科学领域:
- 老年学是一门学科.
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 住院治疗往往会导致老年人的持续症状,COVID-19加剧了这种担忧.
- 急性事件对老年人群的长期影响需要进一步研究.
研究的目的:
- 研究持续症状对功能衰退和1年以上老年COVID-19幸存者的意外事件的影响.
- 确定与住院后长期症状相关的风险因素和结果.
主要方法:
- 针对50岁以上因COVID-19住院患者的前性队列研究 (2020年3月至12月).
- 持续的症状定义为从入院到退院后12个月的持续存在.
- 评估结果:功能衰退 (ADL,移动性,IADL),跌倒,急诊室访问和再接收.
主要成果:
- 32%的患者 (N=1019) 经历了持续的症状,最常见的是疲劳,肌痛和呼吸障碍.
- 两个或两个以上的持续症状增加了功能性流动性下降和IADL,跌倒和急诊室访问的风险.
- 患有至少一种持续症状的女性,患日常生活基本活动下降的风险增加了两倍.
结论:
- 长期症状在老年COVID-19幸存者中普遍存在,并对功能下降,跌倒和急诊室访问有重大贡献.
- 监测症状负担对于识别风险人群和优化出院后护理计划至关重要.
相关概念视频
Discharge Summary Forms
690
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
690
Planning Nursing Care I
4.2K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
Classification of Illness
7.2K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.2K
Pneumonia II: Pathophysiology
189
The pathophysiology of pneumonia involves the following steps:
189


