Tkacheva O N, Sharashkina N V, Eruslanova K A, Lysenkov S N, Reshetova A A, Matchekhina L V, Ilyushchenko A K, Runikhina N K
Russian Gerontology Clinical Research Center, Ministry of Healthcare of the Russian Federation, Pirogov Russian National Research Medical University, Moscow, Russia.
Faculty of Biology, Lomonosov Moscow State University, Moscow, Russia.
Front Med (Lausanne). 2023 Jul 6;10:1165709. doi: 10.3389/fmed.2023.1165709. eCollection 2023.
The prevalence of older people in Russian population increases rapidly. Therefore, the concept of healthy aging is becoming crucial in Russia and all over the world, and thus disability prevention is one aspect of this issue.
To assess a possible association between geriatric syndromes, comorbidities, and mortality rate among frail patients who receive home medical care in Moscow.
The study included 450 patients with home medical care provided by the State Budgetary Healthcare Institution "Diagnostic Center No. 3 of the Moscow Health Department" from June 2019 to April 2021. Physical health, functional, cognitive, social and emotional statuses were evaluated by comprehensive geriatric assessment (CGA). The mortality rate after 1 year was assessed.
The all-cause case mortality rate in patients during the observation period was 22.4%. There was no difference in age and comorbidities in survivors and deceased patients, but the latter group had more geriatric syndromes. The association between risks of mortality and anemia and some geriatric syndromes, such as malnutrition and hearing impairment, total dependence (Barthel index less than 60) was observed.
俄罗斯人口中老年人口的比例迅速上升。因此，健康老龄化的概念在俄罗斯乃至全世界都变得至关重要，而预防残疾是这个问题的一个方面。
评估莫斯科接受家庭医疗护理的体弱患者中，老年综合征、合并症与死亡率之间可能存在的关联。
该研究纳入了2019年6月至2021年4月期间由国家预算医疗机构“莫斯科卫生部第3诊断中心”提供家庭医疗护理的450名患者。通过综合老年评估（CGA）对身体健康、功能、认知、社会和情感状况进行评估。评估1年后的死亡率。
观察期内患者的全因病例死亡率为22.4%。存活患者和死亡患者在年龄和合并症方面没有差异，但后一组有更多的老年综合征。观察到死亡率风险与贫血以及一些老年综合征之间存在关联，如营养不良、听力障碍、完全依赖（巴氏指数小于60）。
