社区居家老年人中住院及机构养老老年人的衰弱关联
Association of frailty in hospitalized and institutionalized elderly in the community-dwelling.
作者信息
Fabrício-Wehbe Suzele Cristina Coelho, Rodrigues Rosalina Aparecida Partezani, Haas Vanderlei Jose, Fhon Jack Roberto Silva, Diniz Marina Aleixo
机构信息
Universidade de São Paulo, Ribeirão Preto College of Nursing. Ribeirão Preto, São Paulo, Brazil.
Universidade Federal do Triângulo Mineiro, Postgraduate Program in Health Care. Uberaba, Minas Gerais, Brazil.
出版信息
Rev Bras Enferm. 2016 Jul-Aug;69(4):691-6. doi: 10.1590/0034-7167.2016690411i.
OBJECTIVE
to investigate the association between frailty with hospitalization and institutionalization in a follow-up study of elderly residents.
METHOD
the follow-up study was performed in 2008 and 2013 with elderly of both genders, aged 65 years and older who were living in the community-dwelling. The sampling procedure performed was probabilistic, with dual-stage clustering. In 2008, 515 elderly people were interviewed and, in 2013, 262. We used the socioeconomic and demographic data, self-reported morbidity, specific data of hospitalization and institutionalization. Frailty was measured by the Edmonton Frail Scale (EFS), and functional capacity through the Functional Independence Measure.
RESULTS
we found the mean gross EFS score was higher among resident elderly who were hospitalized and institutionalized and was statistically significant in both investigated years.
CONCLUSION
the confirmation of association between frailty and hospitalization and institutionalization reinforces the importance of the subject, and highlights frailty as an important tool for risk estimates for these adverse events.
目的
在一项针对老年居民的随访研究中，调查衰弱与住院及机构养老之间的关联。
方法
2008年和2013年对年龄在65岁及以上、居住在社区的老年男女进行了随访研究。采用的抽样程序是概率性的，为两阶段整群抽样。2008年对515名老年人进行了访谈，2013年对262名进行了访谈。我们使用了社会经济和人口数据、自我报告的发病率、住院和机构养老的具体数据。衰弱程度通过埃德蒙顿衰弱量表（EFS）进行测量，功能能力通过功能独立性测量进行评估。
结果
我们发现，住院和机构养老的老年居民的EFS总平均分较高，且在两个调查年份均具有统计学意义。
结论
衰弱与住院及机构养老之间关联的证实强化了该主题的重要性，并突出了衰弱作为这些不良事件风险评估的重要工具的地位。
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