Rivas-González Noel, López María, Martín-Gil Belén, Fernández-Castro Mercedes, Castro María José, San Román J Alberto
Continuing Education Department, Valladolid University Clinical Hospital, 47005 Valladolid, Spain.
Faculty of Nursing, University of Valladolid, 47003 Valladolid, Spain.
Nurs Rep. 2025 Mar 15;15(3):100. doi: 10.3390/nursrep15030100.
: Ageing favours the onset of cardiovascular diseases, frailty, and risk of falls. In the hospital setting, 47.7% of patients may be frail, and the incidence of falls may be as high as five per thousand. This study seeks to determine the relationship between frailty, risk of falls, and length of hospital stays in hospitalised older adults with heart disease. : An observational study was conducted of a cohort of patients aged ≥60 years admitted to a cardiology unit (2022-2024). Frailty was assessed using Fried's phenotype, risk of falls using the J.H. Downton scale, and level of dependency using the Barthel index. Clinical variables, anthropometric measurements, and length of stay were analysed. Statistical analysis: quantitative variables were expressed as means and standard deviations, and categorical variables as frequencies. Associations were analysed using Student's -tests, chi-squared tests, and Kruskal-Wallis tests for comparisons of three or more groups. Relationships between frailty, risk of falls, and other variables were examined using univariate binary logistic regression, with a 95% confidence interval and statistical significance set at < 0.05. : A total of 144 patients were recruited (mean age = 73.08 years [SD = 7.95]) (women = 33.30%). Frailty was associated with waist circumference in men ( = 0.01) and diastolic blood pressure in women ( = 0.05). Frailty was further linked to Downton scores (odds ratio [OR] = 1.565; 95% CI: 1.156-2.120; = 0.004), age (OR = 1.114; 95% CI: 1.058-1.173; = 0.000), Barthel index (OR = 0.902; 95% CI: 0.854-0.953; = 0.000), and length of stay (OR = 1.101; 95% CI: 1.021-1.186; = 0.012). : Frailty appears to be related to Downton scores and impacts the length of hospital stays in older adults hospitalised with cardiac conditions.
衰老会增加心血管疾病、身体虚弱和跌倒风险的发生几率。在医院环境中，47.7%的患者可能身体虚弱，跌倒发生率可能高达千分之五。本研究旨在确定患有心脏病的住院老年人的身体虚弱、跌倒风险与住院时间之间的关系。
对一个年龄≥60岁、入住心脏病科的患者队列（2022 - 2024年）进行了一项观察性研究。使用弗里德表型评估身体虚弱程度，使用J.H. 唐顿量表评估跌倒风险，使用巴氏指数评估依赖程度。分析了临床变量、人体测量数据和住院时间。
定量变量以均值和标准差表示，分类变量以频率表示。使用学生t检验、卡方检验和克鲁斯卡尔 - 沃利斯检验分析三组或更多组之间的关联比较。使用单变量二元逻辑回归检验身体虚弱、跌倒风险与其他变量之间的关系，95%置信区间，统计学显著性设定为P < 0.05。
共招募了144名患者（平均年龄 = 73.08岁[标准差 = 7.95]）（女性 = 33.30%）。身体虚弱与男性的腰围（P = 0.01）和女性的舒张压（P = 0.05）相关。身体虚弱还与唐顿评分（比值比[OR] = 1.565；95%置信区间：1.156 - 2.120；P = 0.004）、年龄（OR = 1.114；95%置信区间：1.058 - 1.173；P = 0.000）、巴氏指数（OR = 0.902；95%置信区间：0.854 - 0.953；P = 0.000）和住院时间（OR = 1.101；95%置信区间：1.021 - 1.186；P = 0.012）有关。
身体虚弱似乎与唐顿评分相关，并影响患有心脏疾病的住院老年人的住院时间。
