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本文引用的文献

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A program to prevent functional decline in physically frail, elderly persons who live at home.一项针对居家生活的身体虚弱老年人预防功能衰退的项目。
N Engl J Med. 2002 Oct 3;347(14):1068-74. doi: 10.1056/NEJMoa020423.
2
[Spanish language adaptation and validation of the Pfeiffer's questionnaire (SPMSQ) to detect cognitive deterioration in people over 65 years of age].[用于检测65岁以上人群认知功能衰退的Pfeiffer问卷（SPMSQ）的西班牙语改编及验证]
Med Clin (Barc). 2001 Jun 30;117(4):129-34. doi: 10.1016/s0025-7753(01)72040-4.
3
[Comorbidity indexes: review of the literature and application to studies of elderly population].[共病指数：文献综述及其在老年人群研究中的应用]
Rev Epidemiol Sante Publique. 2001 Jun;49(3):287-98.
4
Current methods of the US Preventive Services Task Force: a review of the process.美国预防服务工作组的当前方法：过程回顾
Am J Prev Med. 2001 Apr;20(3 Suppl):21-35. doi: 10.1016/s0749-3797(01)00261-6.
5
[Application of a geriatric evaluation protocol in primary care: comparison with data from the clinical history].老年评估方案在初级保健中的应用：与临床病史数据的比较
Aten Primaria. 2000 May 31;25(9):630-3. doi: 10.1016/s0212-6567(00)78584-2.
6
The validation of the short form of the Geriatric Depression Scale (GDS) in Greece.希腊老年抑郁量表简版（GDS）的验证
Aging (Milano). 1999 Dec;11(6):367-72. doi: 10.1007/BF03339814.
7
Modifiable risk factors predict functional decline among older women: a prospectively validated clinical prediction tool. The Study of Osteoporotic Fractures Research Group.可改变的风险因素可预测老年女性的功能衰退：一种经过前瞻性验证的临床预测工具。骨质疏松性骨折研究组。
J Am Geriatr Soc. 2000 Feb;48(2):170-8. doi: 10.1111/j.1532-5415.2000.tb03908.x.
8
[The validity and reliability of a questionnaire for assessing the functional capacity of older persons].
Aten Primaria. 1999 Sep 30;24(5):267-73.
9
A randomized clinical trial of outpatient comprehensive geriatric assessment coupled with an intervention to increase adherence to recommendations.一项针对门诊综合老年评估并辅以提高对建议依从性干预措施的随机临床试验。
J Am Geriatr Soc. 1999 Mar;47(3):269-76. doi: 10.1111/j.1532-5415.1999.tb02988.x.
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[Disability evaluation: Barthel's index].[残疾评估：巴氏指数]
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[社区居住老年人功能衰退的预测因素]

[Predictors factors about functional decline in community-dwelling older persons].

作者信息

Sitjas Molina E, San José Laporte A, Armadans Gil L, Mundet Tuduri X, Vilardell Tarrés M

机构信息

Area Básica de Salud El Carmel, Barcelona, España.

出版信息

Aten Primaria. 2003 Sep 30;32(5):282-7. doi: 10.1016/S0212-6567(03)79276-2.

DOI:10.1016/S0212-6567(03)79276-2
PMID:14519290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7669215/
Abstract

OBJECTIVES

The goal of this work was to prove the usefulness of simple standard geriatrics tools as a predictors of basic daily activities or quality of life decline in one year in older patients apparent healthy to apply in primary care.

DESIGN

Prospective study of a randomised sample of 100 patients.

SETTING

Urban primary care center.

PATIENTS

A systematic sample of 100 patients of 75 years old or older, with Barthel index > or =90, Karnofsky scale > or =70 and without any neoformation process evaluated prospectively.

MEASUREMENTS

A comprehensive geriatric assessment was done that include: physical performance, neural-psychologist performance, organic assessment, social assessment. After 12 month were assessed again basic activities of daily living (Barthel) and quality of life (Karnofsky). To estimate the odds ratio (OR) of association we used logistic regression models.

RESULTS

The alterations in cognition trials (Pfeiffer >2) and in instrumental activities of daily living (Lawton <7) showed predictors about decline in basic activities of daily living (OR=4.66; CI, 1.33-16.22), (OR=4.89; CI, 1.65-14.48). The alterations in instrumental activities of daily living (Lawton <7) and in performance tests (abbreviated Guralnik test <4) showed predictors about decline in quality of life (OR=4.31; CI, 1.62-11.44), (OR=7.41; CI, 1.54-35.62).

CONCLUSION

In primary care geriatric assessment tools based in instrumental activities of daily living, cognition and performance tests predict decline in basic activities of daily living and quality of life.

摘要

目的

本研究旨在证明简单的标准老年医学工具对于明显健康的老年患者在初级保健中预测其一年内基本日常活动或生活质量下降的有用性。

设计

对100名患者的随机样本进行前瞻性研究。

地点

城市初级保健中心。

患者

系统抽取100名75岁及以上患者，巴氏指数≥90，卡氏评分≥70，且无任何新发病变过程，进行前瞻性评估。

测量

进行全面的老年医学评估，包括：身体功能、神经心理学表现、器官评估、社会评估。12个月后再次评估日常生活基本活动（巴氏指数）和生活质量（卡氏评分）。为估计关联的比值比（OR），我们使用逻辑回归模型。

结果

认知测试（ Pfeiffer>2）和日常生活工具性活动（Lawton<7）的改变显示出预测日常生活基本活动下降的因素（OR = 4.66；CI，1.33 - 16.22），（OR = 4.89；CI，1.65 - 14.48）。日常生活工具性活动（Lawton<7）和性能测试（简化的Guralnik测试<4）的改变显示出预测生活质量下降的因素（OR = 4.31；CI，1.62 - 11.44），（OR = 7.41；CI，1.54 - 35.62）。

结论

在初级保健中，基于日常生活工具性活动、认知和性能测试的老年医学评估工具可预测日常生活基本活动和生活质量的下降。