早期识别住院老年患者活动能力下降的危险因素。
Early Identification of Risk Factors for Mobility Decline Among Hospitalized Older Patients.
机构信息
From the Department of Rehabilitation Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, South Korea (YL, H-HL, KEU, HJJ, JL); Program in Occupational Therapy, Washington University School of Medicine, St. Louis, Missouri (YL); Department of Quality Improvement, Konkuk University Medical Center, Seoul, South Korea (Y-SK); Department of Family Medicine, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, South Korea (JS, JC); Department of Neurology, Konkuk University School of Medicine and Konkuk University Medical Center, Seoul, South Korea (S-HH); and Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, South Korea (JL).
出版信息
Am J Phys Med Rehabil. 2019 Aug;98(8):699-705. doi: 10.1097/PHM.0000000000001180.
OBJECTIVE
The aim of the study was to identify the risk factors for mobility decline among hospitalized older patients early.
DESIGN
This is a prospective cohort study. A total of 875 older patients were divided into two groups: older patients with and without mobility decline. The mobility level was measured using the item of functional mobility in the Geriatric Screening for Care 10. The change in mobility between admission and discharge was determined as the dependent variable. There were a total of 18 independent variables, which consisted of three demographic variables, 10 most problematic domains of geriatric care, and five other health-related variables. A multivariable logistic regression analysis was conducted to identify the risk factors for mobility decline during hospitalization.
RESULTS
Of the 875 older patients, 135 (15.4%) experienced mobility decline during hospitalization. The multivariable logistic regression analysis revealed female sex, cognitive impairment, and underweight as the risk factors for mobility decline during hospitalization.
CONCLUSIONS
The identified risk factors should be considered to identify patients at a risk of mobility decline early and to provide targeted interventions, which can prevent mobility decline.
目的
本研究旨在早期识别住院老年患者活动能力下降的危险因素。
设计
这是一项前瞻性队列研究。共纳入 875 例老年患者，分为有活动能力下降和无活动能力下降两组。使用老年综合评估 10 项中的功能性活动能力条目测量活动能力水平。入院和出院时的活动能力变化为因变量。共有 18 个独立变量，包括 3 个人口统计学变量、10 个老年护理最常见问题领域和 5 个其他与健康相关的变量。采用多变量逻辑回归分析确定住院期间活动能力下降的危险因素。
结果
875 例老年患者中，135 例（15.4%）在住院期间活动能力下降。多变量逻辑回归分析显示，女性、认知障碍和体重不足是住院期间活动能力下降的危险因素。
结论
应考虑这些已确定的危险因素，以便早期识别有活动能力下降风险的患者，并提供针对性的干预措施，从而预防活动能力下降。
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