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[衰弱作为流行病学研究中不良事件的预测指标:文献综述]

[Frailty as a predictor of adverse events in epidemiological studies: literature review].

作者信息

Romero Rizos Luis, Abizanda Soler Pedro

机构信息

Servicio de Geriatría, Complejo Hospitalario Universitario de Albacete, Albacete, España.

出版信息

Rev Esp Geriatr Gerontol. 2013 Nov-Dec;48(6):285-9. doi: 10.1016/j.regg.2013.05.005. Epub 2013 Oct 2.

Abstract

Several epidemiological studies have analyzed the association between frailty status and adverse geriatric health outcomes, with there being a clear relationship being demonstrated in mortality, disability, mobility loss, institutionalization and falls. However, different studies have evaluated different number of these adverse events, with different criteria, and with different follow-up periods. As a result of this relationship, the objective of geriatric medicine must not only be the prevention, diagnosis and treatment of diseases based on multidisciplinary team work and use of geriatric units according to functional status of patients, but the detection, prevention and treatment of frailty. Frailty must be considered as a pre-disability state that can be prevented and treated to delay its progression towards disability, institutionalization, and death. The characterization of frailty status can also help other medical specialties to stratify the risk of adverse health outcomes in oncology treatments, surgical interventions, or diagnostic procedures.

摘要

多项流行病学研究分析了衰弱状态与老年不良健康结局之间的关联,结果表明在死亡率、残疾、行动能力丧失、入住养老机构和跌倒方面存在明确的关系。然而,不同的研究评估了不同数量的这些不良事件,采用了不同的标准和不同的随访期。鉴于这种关系,老年医学的目标不仅必须是基于多学科团队合作以及根据患者功能状态使用老年病房来预防、诊断和治疗疾病,还包括对衰弱的检测、预防和治疗。必须将衰弱视为一种可预防和治疗的残疾前状态,以延缓其向残疾、入住养老机构和死亡的进展。衰弱状态的特征描述也有助于其他医学专科在肿瘤治疗、外科手术或诊断程序中对不良健康结局的风险进行分层。

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