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患有和未患有新冠肺炎的老年住院患者身体活动减少

Diminished Physical Activity in Older Hospitalised Patients with and without COVID-19.

作者信息

Piotrowicz Karolina, Perera Ian, Ryś Monika, Skalska Anna, Hope Suzy V, Gryglewska Barbara, Michel Jean-Pierre, Grodzicki Tomasz, Gąsowski Jerzy

机构信息

Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 30-688 Kraków, Poland.

University Hospital, 30-688 Kraków, Poland.

出版信息

J Clin Med. 2023 Sep 28;12(19):6261. doi: 10.3390/jcm12196261.

Abstract

Acute viral respiratory infections have proven to be a major health threat, even after the Corona Virus Disease 2019 (COVID-19) pandemic. We aimed to check whether the presence or absence of an acute respiratory infection such as COVID-19 can influence the physical activity of older hospitalised patients. We cross-sectionally studied patients aged ≥60 years, hospitalized during the pandemic in the non-COVID-19 and COVID-19 ward at the University Hospital, Kraków, Poland. Using activPAL3 technology, we assessed physical activity for 24 h upon admission and discharge. In addition, we applied the sarcopenia screening tool (SARC-F); measured the hand grip strength and calf circumference; and assessed the Modified Early Warning Score (MEWS), age-adjusted Charlson Index, SpO2%, and length of stay (LoS). Data were analysed using SAS 9.4. The mean (min, max) age of the 31 (58% women, eight with COVID-19) consecutive patients was 79.0 (62, 101, respectively) years. The daily time (activPAL3, median [p5, p95], in hours) spent sitting or reclining was 23.7 [17.2, 24] upon admission and 23.5 [17.8, 24] at discharge. The time spent standing was 0.23 [0.0, 5.0] upon admission and 0.4 [0.0, 4.6] at discharge. The corresponding values for walking were 0.0 [0.0, 0.4] and 0.1 [0.0, 0.5]. SARC-F, admission hand grip strength, calf circumference, and LoS were correlated with physical activity upon admission and discharge (all < 0.04). For every unit increase in SARC-F, there was a 0.07 h shorter walking time upon discharge. None of the above results differed between patients with and without COVID-19. The level of physical activity in older patients hospitalised during the pandemic was low, and was dependent on muscular function upon admission but not on COVID-19 status. This has ramifications for scenarios other than pandemic clinical scenarios.

摘要

事实证明,即使在2019年冠状病毒病(COVID-19)大流行之后,急性病毒性呼吸道感染仍是一项重大的健康威胁。我们旨在研究诸如COVID-19之类的急性呼吸道感染的存在与否是否会影响老年住院患者的身体活动。我们对年龄≥60岁、在波兰克拉科夫大学医院大流行期间于非COVID-19病房和COVID-19病房住院的患者进行了横断面研究。使用activPAL3技术,我们在入院和出院时评估了24小时的身体活动情况。此外,我们应用了肌少症筛查工具(SARC-F);测量了握力和小腿围;并评估了改良早期预警评分(MEWS)、年龄校正的查尔森指数、血氧饱和度(SpO2%)和住院时间(LoS)。使用SAS 9.4对数据进行分析。31例连续患者(58%为女性,8例患有COVID-19)的平均(最小,最大)年龄分别为79.0(62,101)岁。入院时坐着或躺着的每日时间(activPAL3,中位数[p5,p95],单位:小时)为23.7[17.2,24],出院时为23.5[17.8,24]。入院时站立时间为0.23[0.0,5.0],出院时为0.4[0.0,4.6]。相应的行走时间值分别为0.0[0.0,0.4]和0.1[0.0,0.5]。SARC-F、入院时的握力、小腿围和住院时间与入院和出院时的身体活动相关(均<0.04)。SARC-F每增加一个单位,出院时的行走时间缩短0.07小时。上述结果在患有和未患有COVID-19的患者之间没有差异。大流行期间住院的老年患者身体活动水平较低,且取决于入院时的肌肉功能,而非COVID-19状态。这对大流行临床场景以外的情况也有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/174e/10573782/41521bfc0fed/jcm-12-06261-g001.jpg

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