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检查近期住院的老年痴呆症患者身体活动与死亡率之间的关联。

Examining the association of physical activity and mortality among recently hospitalized older adults with dementia.

机构信息

School of Nursing, University of Maryland Baltimore, USA.

School of Nursing, University of Maryland Baltimore, USA.

出版信息

Geriatr Nurs. 2024 Jul-Aug;58:506-511. doi: 10.1016/j.gerinurse.2024.06.024. Epub 2024 Jul 11.

DOI:10.1016/j.gerinurse.2024.06.024
PMID:38996477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11323226/
Abstract

INTRODUCTION

This study aimed to examine the association between physical activity one month post discharge and mortality over the first-year post discharge among recently hospitalized older adults with dementia.

METHODS

For this descriptive sub-study, among 42 participants, we obtained physical activity data via accelerometry at one month post discharge and death status via phone call at 6 months and 1 year post discharge. We performed logistic regression.

RESULTS

We found that participants' amount of time spent in physical activity one month post hospital discharge was not statistically significantly associated with mortality within the first-year post hospital discharge (OR=.996, CI=.992,1.000; p=.053). However, we did observe a strong trend.

CONCLUSIONS

Given the small sample of participants, this trend is salient and should be examined in a larger sample. The results highlight a specific patient profile, recently hospitalized older adults with dementia, that would greatly benefit from physical activity interventions.

摘要

简介

本研究旨在探讨最近因痴呆住院的老年患者出院后一个月的身体活动与出院后第一年死亡率之间的关系。

方法

在这项描述性子研究中,我们在 42 名参与者中,通过出院后一个月的加速度计获得身体活动数据,并通过出院后 6 个月和 1 年的电话获得死亡状态。我们进行了逻辑回归分析。

结果

我们发现,参与者出院后一个月内的身体活动时间与出院后第一年的死亡率没有统计学上的显著相关性(OR=0.996,CI=0.992,1.000;p=0.053)。然而,我们确实观察到了一个强烈的趋势。

结论

考虑到参与者样本较小,这一趋势很明显,应该在更大的样本中进行检验。研究结果突出了一个特定的患者群体,即最近因痴呆住院的老年患者,他们非常受益于身体活动干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97e/11323226/ba15bf8d97c5/nihms-2006972-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97e/11323226/0dbde017e116/nihms-2006972-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97e/11323226/ba15bf8d97c5/nihms-2006972-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97e/11323226/0dbde017e116/nihms-2006972-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a97e/11323226/ba15bf8d97c5/nihms-2006972-f0002.jpg

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本文引用的文献

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Gender, Pain, and Function Associated With Physical Activity After Hospitalization in Persons Living With Dementia.性别、疼痛与身体活动对痴呆患者住院后的影响。
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Physical Inactivity Is Associated With Post-discharge Mortality and Re-hospitalization Risk Among Swedish Heart Failure Patients-The HARVEST-Malmö Study.
身体活动不足与瑞典心力衰竭患者出院后死亡率及再住院风险相关——哈维斯-马尔默研究
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J Aging Phys Act. 2021 Oct 1;29(5):852-857. doi: 10.1123/japa.2020-0275. Epub 2021 Apr 15.
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