长期护理利用率和所有原因的死亡率在患有重大精神疾病的老年人中:一个为期5年的前性多中心研究
Katayoun Rezaei1, Marina Sánchez-Rico1, Pierre Lavaud1
1AP-HP, Hôpital Corentin-Celton, Département de Psychiatrie, F-92130 Issy-les-Moulineaux, France.
概括
使用长期护理服务的患有精神疾病的老年人面临着因任何原因死亡的更高风险. 这一发现凸显了医疗保健提供者和政策制定者需要仔细考虑的必要性.
科学领域:
- 老年精神病学是一门精神病学专业.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 全球人口老龄化正在增加长期护理机构中患有精神疾病的老年人数量.
- 在这个人口群体中,与长期护理使用相关的死亡风险存在有限的研究.
研究的目的:
- 调查长期护理利用率与患有重大精神疾病的老年人全因死亡率之间的关联.
主要方法:
- 利用了5年期前性多中心研究"55岁或以上的精神分裂症,双相情感和严重抑郁症患者队列 (CSA) "的数据.
- 在多变量逻辑回归模型中根据社会人口统计学因素,临床特征和精神药物使用进行调整.
主要成果:
- 长期护理使用率在23.6%的研究人群中普遍存在 (n=132).
- 在长期护理中生活与所有原因死亡率的增加显著相关 (AOR=1.86;95%CI=1.10-3.16;p=0.021),即使在完全调整后.
- 这种关联在大多数人口和临床子组中保持一致.
结论:
- 长期护理利用率是所有原因死亡率增加的重要预测因素,主要是患有精神疾病的老年人.
- 医疗保健专业人员和政策制定者在管理对这一弱势群体的护理时,应仔细考虑这一关联.
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