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慢性病老年个体中与衰弱相关的因素:一项多中心研究。

Factors associated with frailty among older individuals with chronic diseases: A multicenter study.

作者信息

Quintero-Cruz María Victoria, Mantilla-Morrón Mirary, Urina-Jassir Manuel, Pinillos-Patiño Yisel, Quijano-Del Gordo Carmen Inés, Buelvas Walberto, De Ávila-Quintana Luzdaris, Cotes Karin, Urina-Triana Miguel

机构信息

Faculty of Health Sciences, Physiotherapy Program, Universidad Simón Bolívar, Barranquilla, Colombia.

Department of Medicine, Boston Medical Center and Boston University Chobanian, Avedisian School of Medicine, Boston, MA, USA.

出版信息

SAGE Open Med. 2024 May 23;12:20503121241255000. doi: 10.1177/20503121241255000. eCollection 2024.

Abstract

OBJECTIVE

Frailty is a syndrome that predisposes older individuals to adverse health outcomes, such as disability, dependence, falls, hospitalization, post-operative complications, and poor health in general. This study aimed to identify factors associated with frailty in older people with chronic diseases in Colombia.

METHODS

A cross-sectional study was conducted with a nonprobabilistic sample of 230 older people (aged ⩾ 60 years) from four Colombian cities. Frailty was based on Fried's phenotype (frail defined as having ⩾3 criteria). Comorbidities were classified based on Charlson's Comorbidity Index and key questionnaires for activities of daily living (ADLs) were evaluated.

RESULTS

Most were female (57.8%) with a mean ± SD age of 71.9 ± 8 years. Among them, 27.4% were frail and 58.7% were prefrail. Female gender, age ⩾ 75 years, low educational and socioeconomic level, dependence on ADLs, and cognitive impairment were associated with higher odds of prefrailty/frailty.

CONCLUSIONS

Prefrailty and frailty are common among older people with chronic diseases in Colombia. This syndrome is associated with social and health-related conditions, which should be addressed when providing care for these patients.

摘要

目的

衰弱是一种使老年人易出现不良健康结局的综合征,如残疾、依赖、跌倒、住院、术后并发症以及总体健康状况不佳。本研究旨在确定哥伦比亚患有慢性病的老年人中与衰弱相关的因素。

方法

对来自哥伦比亚四个城市的230名老年人(年龄≥60岁)的非概率样本进行了横断面研究。衰弱基于弗里德表型(衰弱定义为符合≥3项标准)。根据查尔森合并症指数对合并症进行分类,并评估日常生活活动(ADL)的关键问卷。

结果

大多数为女性(57.8%),平均年龄±标准差为71.9±8岁。其中,27.4%为衰弱,58.7%为衰弱前期。女性、年龄≥75岁、低教育和社会经济水平、依赖ADL以及认知障碍与更高的衰弱前期/衰弱几率相关。

结论

衰弱前期和衰弱在哥伦比亚患有慢性病的老年人中很常见。这种综合征与社会和健康相关状况有关,在为这些患者提供护理时应予以关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/392d/11119381/147cb3f06b85/10.1177_20503121241255000-fig1.jpg

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