公共卫生 公共卫生
Manabu Kokubo1, Akihiro Hirashiki2, Takahiro Kamihara2
1The National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
患有痴呆症的老年心力衰竭患者的预后与没有认知障碍的人的预后相似. 心力衰竭治疗的进步似乎改善了这两组患者的治疗结果,降低了再入院和死亡风险.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 认知障碍在心力衰竭的老年患者中很常见.
- 心力衰竭患者的痴呆与重新住院和死亡率的增加有关.
- 心力衰竭药物治疗的进步在过去二十年里改善了预后.
研究的目的:
- 评估最近心力衰竭治疗的进展是否改善了认知障碍的老年患者的预后.
- 为了比较老年心力衰竭患者的预后,有和没有痴呆症.
主要方法:
- 对因心力衰竭住院的80-89岁患者 (2018-2021) 的回顾性研究.
- 患者分为痴呆症和非痴呆症组.
- 对再住院和死亡的三年随访.
主要成果:
- 包括85名患者 (35名痴呆症,50名非痴呆症患者).
- 两组之间在背景,并发症或药物治疗方面没有显著差异.
- 痴呆症和非痴呆症组之间的3年再住院或死亡率没有显著差异.
结论:
- 患有痴呆症的老年心力衰竭患者的预后与没有痴呆症的患者相似.
- 这表明目前的心力衰竭治疗可能会减轻认知障碍对结果的负面影响.
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