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[心力衰竭作为住院老年人功能依赖的预测指标]

[Heart failure as a predictor of functional dependence in hospitalized elderly].

作者信息

Xavier Sara de Oliveira, Ferretti-Rebustini Renata Eloah de Lucena, Santana-Santos Eduesley, Lucchesi Paola Alves de Oliveira, Hohl Karine Generoso

机构信息

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2015 Oct;49(5):790-6. doi: 10.1590/S0080-623420150000500012.

DOI:10.1590/S0080-623420150000500012
PMID:26516749
Abstract

OBJECTIVE

Identify whether Heart Failure (HF) is a predictor of functional dependence for Basic Activities of Daily Living (BADL) in hospitalized elderly.

METHODS

We investigated medical records and assessed dependence to BADL (by the Katz Index) of 100 elderly admitted to a geriatric ward of a university hospital. In order to verify if HF is a predictor of functional dependence, linear regression analyzes were performed.

RESULTS

The prevalence of HF was 21%; 95% of them were dependent for BADLs. Bathing was the most committed ADL. HF is a predictor of dependence in hospitalized elderlies, increasing the chance of functional decline by 5 times (95% CI, 0.94-94.48), the chance of functional deterioration by 3.5 times (95% CI, 1.28-11.66; p <0.02) and reducing 0.79 points in the Katz Index score (p <0.05).

CONCLUSION

HF is a dependency predictor of ADL in hospitalized elderly, who tend to be more dependent, especially for bathing.

摘要

目的

确定心力衰竭(HF)是否是住院老年人日常生活基本活动(BADL)功能依赖的预测指标。

方法

我们调查了100名入住大学医院老年病房的老年人的病历,并通过Katz指数评估其对BADL的依赖程度。为了验证HF是否是功能依赖的预测指标,我们进行了线性回归分析。

结果

HF的患病率为21%;其中95%的人依赖BADL。洗澡是最常受影响的日常生活活动。HF是住院老年人依赖的预测指标,使功能下降的几率增加5倍(95%可信区间,0.94 - 94.48),功能恶化的几率增加3.5倍(95%可信区间,1.28 - 11.66;p <0.02),并使Katz指数评分降低0.79分(p <0.05)。

结论

HF是住院老年人ADL依赖的预测指标,这些老年人往往更依赖他人,尤其是在洗澡方面。

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Clinical characteristics of heart failure associated with functional dependence at admission in hospitalized elderly.老年住院患者入院时与功能依赖相关的心力衰竭的临床特征
Rev Lat Am Enfermagem. 2019 Apr 29;27:e3137. doi: 10.1590/1518-8345.2869-3137.