利用定时和即时测试来预测老年心血管住院患者的五年死亡率:一项前性队列研究
Wenzheng Li1,2, Min Zeng1,2, Yuhao Wan1,2
1Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, 100730 Beijing, China.
Reviews in cardiovascular medicine
|September 10, 2025
概括
定时升级和测试 (TUGT) 可以预测老年心血管疾病 (CVD) 患者的死亡率. 超过15秒的TUGT结果表明5年内死亡风险更高.
科学领域:
- 老年学是指老年学的学科.
- 心脏病学 心脏病学
- 临床流行病学临床流行病学
背景情况:
- 心血管疾病 (CVD) 是老年人死亡的主要原因.
- 对心血管疾病患者的长期结果的预测标记对于风险分层至关重要.
- 定时启动和启动测试 (TUGT) 评估功能移动性,并可能反映整体健康状况.
研究的目的:
- 评估TUGT对被诊断患有心血管疾病的老年人五年全因死亡率的预测能力.
- 为了确定TUGT持续时间超过15秒是否与死亡风险增加有关.
主要方法:
- 进行了一项前性队列研究,涉及491名患有心血管疾病的老年患者.
- 患者在基线进行了TUGT,并根据结果分组 (TUGT>15秒与TUGT ≤15秒).
- 随机死亡率在五年后续期间被跟踪.
主要成果:
- 在5年的随访期间,共有69例死亡 (14.05%) 发生.
- TUGT>15s的患者年龄较大,心力衰竭和中风/TIA的发病率较高.
- 多变量分析显示,TUGT>15s独立相关于五年死亡风险增加2.03倍 (HR:2.029;95%CI:1.198-3.437).
结论:
- TUGT是一种有价值的,独立的预测器,可以预测心血管疾病的老年患者在五年内因任何原因死亡率.
- 超过15秒的TUGT持续时间意味着预后较差,需要密切监测.
- 这种简单的功能测试可以帮助识别高风险心血管疾病患者,以进行有针对性的干预.
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