虚弱和VA长期护理居民的结果
Yongmei Li1,2, Michael A Steinman3,4, Sei J Lee3,4
1Department of Epidemiology and Population Health, Stanford University, Stanford, California, United States.
概括
脆弱性在长期护理退伍军人中很常见,并且与更多的跌倒和骨折有关. 令人惊的是,脆弱个体的死亡率较低,可能是由于研究的局限性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 老年医学 老年医学
背景情况:
- 退伍军人事务脆弱指数 (VA-FI) 在美国使用. 退伍军人的子组.
- 在长期护理居民中运行VA-FI对于了解健康结果至关重要.
研究的目的:
- 在社区生活中心 (CLC) 居民中实施VA-FI.
- 在这个人群中调查脆弱性和死亡率,跌倒和骨折之间的关联.
主要方法:
- 对65岁以上的退伍军人在CLC的回顾性队列研究,持续≥90天.
- 计算VA-FI并将居民分为四个脆弱群体.
- 分析了使用考克斯回归和细灰模型的一年死亡率,跌倒和骨折的发生率.
主要成果:
- 脆弱性是普遍存在的:12.2%的非/先前脆弱,24.2%的轻度脆弱,28.8%的中度脆弱,34.8%的严重脆弱.
- 越来越脆弱与更高的跌倒和骨折率相关.
- 脆弱居民的死亡率低于非/脆弱前同行.
结论:
- 脆弱性在长期护理退伍军人中非常普遍,并且与跌倒和骨折的增加有关.
- 在脆弱居民中观察到的较低死亡率要求进一步调查潜在的混因素,如停留时间和偏见.
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