脑卒中相关的萨科佩尼亚的患病率:系统性审查和元分析
Lavinia Pereira Dos Santos1, Bruna Machado Staico1, Anna Balsamão Vaz1
1Faculdade de Ciências Mêdicas de Minas Gerais, Belo Horizonte, Brazil.
概括
脑卒中后的肉症非常普遍,影响了近40%的个人. 这一元分析强调了诊断和查方法的显著变化,强调了需要标准化的方法来改善患者护理的必要性.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 肉症,肌肉质量和力量的损失,会对中风后的功能产生负面影响.
- 了解中风后的肉类的患病率对于开发有针对性的干预措施至关重要.
- 这项研究解决了对中风后肉类症患病率进行更新元分析的需求.
研究的目的:
- 进行最新的元分析,以调查中风后个人中症的患病率.
主要方法:
- 对多个数据库 (MEDLINE,SCIELO,EMBASE,LILACS,PEDro,EBSCOHOST,AMED) 和灰色文献进行了系统审查.
- 在搜索中没有应用日期或语言限制.
- 包括31项研究,共计7357名中风后患者.
主要成果:
- 萨科佩尼亚诊断的总体患病率为37.2% (中等质量的证据).
- 根据诊断和查方法,患病率存在显著差异.
- 大多数被纳入的研究是在亚洲进行的 (80.6%) 并使用了亚洲 Sarcopenia 工作组的标准 (58%).
结论:
- 观察到高发病率的中风后的肉症,伴随着相当大的变化.
- 缺乏关于萨尔科佩尼亚定义,诊断标准,测量工具和样本异质性的共识影响了结果.
- 诊断方法的标准化对于准确的患病率评估和有效的干预计划至关重要.
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