身体残疾与老年人住院几率增加有关:来自NHANES 2009-2018年的分析
Guilherme Porto1, Saulo Gil2, Eduardo Ferriolli1
1Laboratório de Investigação Médica em Envelhecimento (LIM-66), Serviço de Geriatria, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
身体残疾显著增加了老年人住院的风险和频率. 这凸显了预防性卫生政策的必要性,这些政策针对这个人口群体的身体功能.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体残疾是影响老年人健康状况和死亡率的重要因素.
- 关于这个人群中身体残疾和住院率之间的关联存在有限的研究.
研究的目的:
- 为了确定身体残疾是否预示着老年人住院 (是/不是).
- 评估身体残疾是否预测住院频率 (≤3或>3).
主要方法:
- 国家健康和营养检查调查 (NHANES) 数据 (2009-2018) 的横截面分析.
- 包括65岁以上的参与者.
- 评估身体残疾使用4项问卷和住院状态通过医院利用和获得护理问卷.
- 利用多变量后勤回归,调整人口和健康因素.
主要成果:
- 分析包括4346名参与者.
- 身体残疾的老年人显示出住院的几率明显更高 (调整后OR:2.13;95%CI:1.74,2.62).
- 身体残疾也与每年住院4次或更多次的几率更高有关 (调整后OR:5.81;95%CI:2.40,14.05).
结论:
- 身体残疾是老年人住院率和频率增加的强有力的预测因素.
- 调查结果强调了旨在预防这个年龄组身体残疾的健康政策的重要性.
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