感染和痴呆风险的住院治疗:系统性审查和元分析
Wei Yu Chua1, Jia Dong James Wang2, Claire Kar Min Chan1
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Aging
|October 14, 2025
概括
患有感染的住院治疗显著增加了痴呆症的风险. 败血症,肺炎和尿路感染构成最高风险,突出显示在痴呆风险降低策略中需要预防感染.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 痴呆症影响全球超过5000万,每年有1000万新病例.
- 与感染相关的住院治疗和痴呆风险之间的关联仍然不清楚.
- 这项研究调查了感染住院和随后的痴呆症诊断之间的联系.
研究的目的:
- 对住院治疗与感染和痴呆风险之间的关联进行元分析.
- 为了确定提高痴呆风险的特定感染.
- 为痴呆症护理中预防感染提供证据.
主要方法:
- 在MEDLINE和Embase数据库中搜索到2025年3月31日.
- 包括对比感染相关住院和没有住院的患者痴呆症频率的队列研究.
- 使用随机效应元分析汇集的危险比率.
主要成果:
- 分析了16项涉及4,266,276名患者的研究.
- 患有感染的住院治疗增加了所有原因痴呆的风险 (HR: 1.83),阿尔茨海默病 (HR: 1.60) 和血管痴呆 (HR: 3.68).
- 败血症 (HR:1.78),肺炎,尿道感染和皮肤感染与更高的痴呆风险有关.
结论:
- 患有感染的住院治疗与更高的痴呆风险有关.
- 败血症是最严重的风险,其次是肺炎,尿道感染和皮肤感染.
- 感染控制对于减轻痴呆风险至关重要.
相关概念视频
Factors Affecting the Risk of Infection
13.2K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
13.2K
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Dementia
517
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
517
Alzheimer's Disease: Overview
1.6K
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
1.6K
Alzheimer's Disease: Treatment
822
Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
822
Pneumonia I: Introduction
728
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
728


