Palmer R M
Joseph M. Foley Elder Health Center, University Hospitals of Cleveland.
Geriatrics. 1990 Sep;45(9):47-50, 53-5.
"Failure to thrive" (FTT) is a term used to describe a gradual decline in physical and/or cognitive function of an elderly patient, usually accompanied by weight loss and social withdrawal, that occurs without immediate explanation. Both age-related and sociodemographic factors predispose the elderly to FTT. The most common etiologies are dementia, depression, delirium, drug reactions, and a few chronic diseases. The diagnostic evaluation of patients with FTT includes a review of the patient's activities of daily living, cognitive function, and mood; a targeted history and physical examination; and selected laboratory studies. Early recognition and management of FTT can reduce the risk of further functional deterioration, hospitalization, or nursing home placement.
“发育不良”（FTT）是一个用于描述老年患者身体和/或认知功能逐渐衰退的术语，通常伴有体重减轻和社交退缩，且无直接明确病因。与年龄相关的因素和社会人口学因素使老年人易患发育不良。最常见的病因是痴呆、抑郁、谵妄、药物反应以及一些慢性疾病。对发育不良患者的诊断评估包括审查患者的日常生活活动、认知功能和情绪；有针对性的病史询问和体格检查；以及选定的实验室检查。早期识别和处理发育不良可降低进一步功能恶化、住院或入住养老院的风险。
