与日本心力衰竭老年患者长期住院相关的因素
Kei Kawada1,2, Tomoaki Ishida3, Toru Kubo4
1Department of Clinical Pharmacy Practice Pedagogy, Tokushima University Graduate School of Biomedical Sciences.
International heart journal
|May 14, 2025
概括
虚弱和营养不良增加了老年心力衰竭 (HF) 患者的长期住院治疗 (LTH). 识别心血管健康研究 (CHS) 评分和老年营养风险指数 (GNRI) 等危险因素有助于对患者进行分层并改善结果.
科学领域:
- 老年病的医生 老年病的医生
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 人口老龄化正在经历心力衰竭 (HF) 的住院时间增加,提高医疗保健成本.
- 在老年HF患者中,导致长期住院 (LTH) 的因素在很大程度上是未知的.
- 了解这些因素对于有效的患者管理和资源分配至关重要.
研究的目的:
- 确定与老年急性HF患者的LTH相关的人口,临床,环境和社会因素.
- 使用已识别的因素,开发LTH的风险分层模型.
- 分析风险组之间的关系,住院时间和临床结果.
主要方法:
- 来自科契急性减补性心力衰竭患者登记处的1,061名患者的分析 (科契YOSACOI研究).
- 决策树分析用于基于确定因素的风险分层.
- 纳入标准侧重于731名患者,其中192名患有LTH (≥30天).
主要成果:
- 与LTH相关的关键因素包括日本版本的心血管健康研究 (J-CHS) 标准得分,独自生活,老年营养风险指数 (GNRI) 和静脉血压.
- 决策树分析创造了三个风险组:低风险 (J-CHS < 3),中等风险 (J-CHS ≥ 3,GNRI > 91.3) 和高风险 (J-CHS ≥ 3,GNRI ≤ 91.3).
- 虚弱和营养不良与LTH和较差的临床结果有显著联系.
结论:
- 虚弱和营养不良是与LTH和老年HF患者不良临床结果相关的关键因素.
- 开发的风险分层模型,包括J-CHS得分和GNRI,可以帮助管理高风险个体.
- 这些发现为优化对心力衰竭老年患者的护理提供了宝贵的见解.
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