Nguyen Amy D, Lind Kimberly E, Day Richard O, Georgiou Andrew, Westbrook Johanna I
Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
St Vincent's Clinical School, UNSW Medicine, UNSW Sydney, Sydney, NSW, Australia.
Australas J Ageing. 2020 Mar;39(1):e153-e161. doi: 10.1111/ajag.12716. Epub 2019 Aug 21.
To estimate gout prevalence and examine associated factors in residential aged care facilities.
Electronic data from 11 548 residents aged 65+ during 2014-2017 from 68 residential aged care facilities in Australia were analysed. Gout prevalence was estimated, and regression was used to assess differences in comorbidities, sociodemographic factors and health status between residents with and without gout.
Over 10% of residents had gout. Most common comorbidities in these residents were hypertension (71.3%), heart disease (37.9%) and diabetes (33.0%) and they were more likely to have renal disease and historical myocardial infarction. The interaction between comorbid gout had complex interactions between age, sex and comorbidities for diabetes and depression was complex.
Gout is common among older people in residential care but may be under-recognised. Holistic management of gout is needed in this population, with careful consideration of chronic comorbidities and treatments.
评估澳大利亚老年护理机构中痛风的患病率并研究相关因素。
分析了2014年至2017年期间澳大利亚68家老年护理机构中11548名65岁及以上居民的电子数据。估算痛风患病率，并采用回归分析评估痛风患者与非痛风患者在合并症、社会人口学因素和健康状况方面的差异。
超过10%的居民患有痛风。这些居民中最常见的合并症是高血压（71.3%）、心脏病（37.9%）和糖尿病（33.0%），他们更易患肾病和有心肌梗死病史。痛风合并症之间存在复杂的相互作用，年龄、性别与糖尿病合并症之间的相互作用以及抑郁症的相互作用都很复杂。
痛风在老年护理机构的老年人中很常见，但可能未得到充分认识。该人群需要对痛风进行全面管理，同时要仔细考虑慢性合并症和治疗方法。
