新加坡老年人中风的患病率、风险因素、残疾情况及护理需求：WiSE研究结果
Prevalence of stroke, risk factors, disability and care needs in older adults in Singapore: results from the WiSE study.
作者信息
Teh Wen Lin, Abdin Edimansyah, Vaingankar Janhavi Ajit, Seow Esmond, Sagayadevan Vathsala, Shafie Saleha, Shahwan Shazana, Zhang Yunjue, Chong Siow Ann, Ng Li Ling, Subramaniam Mythily
机构信息
Research Division, Institute of Mental Health, Singapore, Singapore.
Psychogeriatrics, Changi General Hospital, Singapore, Singapore.
出版信息
BMJ Open. 2018 Mar 28;8(3):e020285. doi: 10.1136/bmjopen-2017-020285.
OBJECTIVES
The aims of the present study were to establish the prevalence of stroke, and to explore the association between stroke prevalence and sociodemographic and health factors, disability, cognitive functioning and care needs among older adult residents in Singapore.
SETTING
Data were drawn from the Well-being of the Singapore Elderly study-a cross-sectional epidemiological survey conducted from 2012 to 2013 on older adults living in Singapore.
PARTICIPANTS
Participants were Singapore residents (citizens and permanent residents) 60 years and above who were living in Singapore during the survey period . Older adult residents who were institutionalised were also included in this study. Those who were not living in Singapore or who were not contactable were excluded from the study. The response rate was 65.6 % (2565/3913). A total population sample of 2562 participants completed the survey. Participants comprised 43.6% males and 56.4% females. The sample comprised 39.4% Chinese, 29.1% Malay, 30.1% Indian and 1.4% other ethnicities .
PRIMARY AND SECONDARY OUTCOME MEASURES
History of stroke, along with other health and mental health conditions, disability and cognitive functioning, were determined by self-report.
RESULTS
Weighted stroke prevalence was 7.6% among older adults aged 60 and above. At a multivariate level, Malay ethnicity (OR 0.41, p=0.012, 95% CI 0.20 to 0.82), hypertension (OR 4.58, p=0.001, 95% CI 1.84 to 11.40), heart trouble (OR 2.45, p=0.006, 95% CI 1.30 to 4.63), diabetes (OR 2.60, p=0.001, 95% CI 1.49 to 4.53) and dementia (OR 3.57, p=0.002, 95% CI 1.57 to 8.12) were associated with stroke prevalence.
CONCLUSIONS
Several findings of this study were consistent with previous reports. Given that Singapore's population is ageing rapidly, our findings may indicate the need to review existing support services for stroke survivors and their caregivers. Future research could investigate the association between various sociodemographic and health conditions and stroke prevalence to confirm some of the findings of this study.
目的
本研究旨在确定新加坡老年居民中风的患病率，并探讨中风患病率与社会人口统计学和健康因素、残疾、认知功能及护理需求之间的关联。
背景
数据取自新加坡老年人福祉研究——一项于2012年至2013年对居住在新加坡的老年人进行的横断面流行病学调查。
参与者
参与者为新加坡居民（公民和永久居民），年龄在60岁及以上，且在调查期间居住在新加坡。居住在养老院的老年居民也纳入本研究。未居住在新加坡或无法联系到的人被排除在研究之外。应答率为65.6%（2565/3913）。共有2562名参与者完成了调查。参与者中男性占43.6%，女性占56.4%。样本中华裔占39.4%，马来裔占29.1%，印度裔占30.1%，其他种族占1.4%。
主要和次要结局指标
中风病史以及其他健康和心理健康状况、残疾和认知功能通过自我报告确定。
结果
60岁及以上老年人的加权中风患病率为7.6%。在多变量水平上，马来族裔（比值比0.41，p = 0.012，95%置信区间0.20至0.82）、高血压（比值比4.58，p = 0.001，95%置信区间1.84至11.40）、心脏病（比值比2.45，p = 0.006，95%置信区间1.30至4.63）、糖尿病（比值比2.60，p = 0.001，95%置信区间1.49至4.53）和痴呆症（比值比3.57，p = 0.002，95%置信区间1.57至8.12）与中风患病率相关。
结论
本研究的几项发现与先前的报告一致。鉴于新加坡人口迅速老龄化，我们的发现可能表明需要审查现有的中风幸存者及其护理人员支持服务。未来的研究可以调查各种社会人口统计学和健康状况与中风患病率之间的关联，以证实本研究的一些发现。
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