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[中间护理医院出院时用于衰弱筛查的身体机能测试的适用性与局限性]

[Applicability and limitations of physical performance tests for frailty screening on discharge from an intermediate care hospital].

作者信息

Sayol Carol Marta, Bajo Peñas Lorena, Boix Sala Lídia, Bajo Peñas M Carme, Altimiras Roset Jacint, Amblàs Novellas Jordi

机构信息

Servicio de Geriatria, Hospital Universitari de la Santa Creu de Vic, Vic, España; Grupo de Investigacion en Cronicidad de la Cataluna Central (C3RG), Centre d'Estudis Sanitaris i Socials, (CESS), Universitat de Vic - Universitat Central de Catalunya (UVIC-UCC), Vic, España.

Servicio de Geriatria, Hospital Universitari de la Santa Creu de Vic, Vic, España.

出版信息

Rev Esp Geriatr Gerontol. 2020 Jul-Aug;55(4):212-215. doi: 10.1016/j.regg.2020.02.002. Epub 2020 Mar 31.

Abstract

INTRODUCTION

Frailty screening can be performed with different tools and in multiple settings. Among the different evaluation systems, gait speed (GS) and Timed Up-and-Go (TUG) are postulated as simple and easy to apply systems. There are few data on the prevalence of frailty in intermediate care centre inpatients.

MATERIAL AND METHODS

Descriptive study to determine the applicability of GS and TUG as frailty screening tools in an intermediate care hospital, as well as an estimate of frailty prevalence at discharge. Frailty was considered when GS<1m/s and / or TUG>12seconds. The study included all patients attending the rehabilitation unit of the centre throughout 2015.

RESULTS

A total of 909 patients were included (mean age of 80.12 years). Only 205 (22.6%) were able to perform GS and TUG at discharge from the rehabilitation unit. Frailty prevalence for this group was between 89.8% (GS) and 92.2% (TUG), with no statistical differences between both tools (P=.25).

CONCLUSIONS

The applicability of GS and TUG for frailty screening in intermediate care hospitals is limited. Despite this, the results obtained suggest a high prevalence of frailty. More studies will be necessary to corroborate this data.

摘要

引言

衰弱筛查可以使用不同工具并在多种环境中进行。在不同的评估系统中,步速(GS)和定时起立行走测试(TUG)被认为是简单易用的系统。关于中级护理中心住院患者衰弱患病率的数据很少。

材料与方法

进行描述性研究,以确定GS和TUG作为中级护理医院衰弱筛查工具的适用性,以及出院时衰弱患病率的估计值。当GS<1米/秒和/或TUG>12秒时,考虑为衰弱。该研究纳入了2015年全年在该中心康复科就诊的所有患者。

结果

共纳入909例患者(平均年龄80.12岁)。康复科出院时,只有205例(22.6%)患者能够进行GS和TUG测试。该组的衰弱患病率在89.8%(GS)至92.2%(TUG)之间,两种工具之间无统计学差异(P = 0.25)。

结论

GS和TUG在中级护理医院用于衰弱筛查的适用性有限。尽管如此,获得的结果表明衰弱患病率很高。需要更多研究来证实这些数据。

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