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老年人衰弱检测的最新进展:一项基于多中心队列机器学习的研究方案

Update on the detection of frailty in older adults: a multicenter cohort machine learning-based study protocol.

作者信息

Fernández-Carnero Samuel, Martínez-Pozas Oliver, Pecos-Martín Daniel, Pardo-Gómez Armando, Cuenca-Zaldívar Juan Nicolás, Sánchez-Romero Eleuterio A

机构信息

Departamento de Fisioterapia, Universidad de Alcalá, Facultad de Enfermería y Fisioterapia, Grupo de Investigación en Fisioterapia y Dolor, Alcalá de Henares 28801, Spain.

Interdisciplinary Research Group on Musculoskeletal Disorders, Madrid 28014, Spain.

出版信息

Aging (Albany NY). 2025 May 21;17(5):1328-1339. doi: 10.18632/aging.206254.

DOI:10.18632/aging.206254
PMID:40413725
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151518/
Abstract

BACKGROUND

This study aims to investigate the relationship between muscle activation variables assessed via ultrasound and the comprehensive assessment of geriatric patients, as well as to analyze ultrasound images to determine their correlation with morbimortality factors in frail patients.

METHODS

The present cohort study will be conducted in 500 older adults diagnosed with frailty. A multicenter study will be conducted among the day care centers and nursing homes. This will be achieved through the evaluation of frail older adults via instrumental and functional tests, along with specific ultrasound images to study sarcopenia and nutrition, followed by a detailed analysis of the correlation between all collected variables.

DISCUSSION

This study aims to investigate the correlation between ultrasound-assessed muscle activation variables and the overall health of geriatric patients. It addresses the limitations of previous research by including a large sample size of 500 patients and measuring various muscle parameters beyond thickness. Additionally, it aims to analyze ultrasound images to identify markers associated with higher risk of complications in frail patients. The study involves frail older adults undergoing functional tests and specific ultrasound examinations. A comprehensive analysis of functional, ultrasound, and nutritional variables will be conducted to understand their correlation with overall health and risk of complications in frail older patients.

TRIAL REGISTRATION

The study was approved by the Research Ethics Committee of the Hospital Universitario Puerta de Hierro, Madrid, Spain (Act nº 18/2023). In addition, the study was registered with https://clinicaltrials.gov/ (NCT06218121).

摘要

背景

本研究旨在探讨通过超声评估的肌肉激活变量与老年患者综合评估之间的关系,并分析超声图像以确定其与虚弱患者死亡风险因素的相关性。

方法

本队列研究将在500名被诊断为虚弱的老年人中进行。将在日间护理中心和养老院开展一项多中心研究。这将通过对虚弱老年人进行仪器和功能测试以及特定超声图像来评估肌肉减少症和营养状况来实现,随后对所有收集到的变量之间的相关性进行详细分析。

讨论

本研究旨在探讨超声评估的肌肉激活变量与老年患者整体健康之间的相关性。它通过纳入500名患者的大样本量并测量厚度以外的各种肌肉参数来解决先前研究的局限性。此外,它旨在分析超声图像以识别与虚弱患者并发症高风险相关的标志物。该研究涉及接受功能测试和特定超声检查的虚弱老年人。将对功能、超声和营养变量进行综合分析,以了解它们与虚弱老年患者整体健康和并发症风险的相关性。

试验注册

该研究已获得西班牙马德里普埃尔塔德耶罗大学医院研究伦理委员会的批准(第18/2023号法案)。此外,该研究已在https://clinicaltrials.gov/注册(NCT06218121)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b6/12151518/c2f15b504204/aging-17-206254-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b6/12151518/f08ccf00986b/aging-17-206254-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b6/12151518/c2f15b504204/aging-17-206254-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b6/12151518/f08ccf00986b/aging-17-206254-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b6/12151518/c2f15b504204/aging-17-206254-g002.jpg

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本文引用的文献

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Addressing frailty in older adults: an integrated challenge for health, science, and society.应对老年人的衰弱问题:对健康、科学和社会的综合挑战。
Aging (Albany NY). 2024 Nov 27;16(21):13176-13180. doi: 10.18632/aging.206162.
2
Association between GLIM-defined malnutrition and hospitalizations in kidney transplant candidates: A post hoc analysis of a cohort study.GLIM 定义的营养不良与肾移植候选者住院之间的关联:一项队列研究的事后分析。
JPEN J Parenter Enteral Nutr. 2023 Aug;47(6):802-811. doi: 10.1002/jpen.2532. Epub 2023 Jul 7.
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Predictors of 3-month mortality with muscle ultrasound and palliative prognostic tools among patients admitted to palliative care units.
在姑息治疗病房收治的患者中,使用肌肉超声和姑息预后工具预测 3 个月死亡率的相关因素。
Korean J Intern Med. 2023 Jul;38(4):557-565. doi: 10.3904/kjim.2022.308. Epub 2023 Mar 31.
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Relationship between preoperative malnutrition, frailty, sarcopenia, body composition, and anthropometry in elderly patients undergoing major pancreatic and biliary surgery.接受大型胰腺和胆道手术的老年患者术前营养不良、衰弱、肌肉减少症、身体成分与人体测量学之间的关系。
Front Nutr. 2023 Feb 21;10:1135854. doi: 10.3389/fnut.2023.1135854. eCollection 2023.
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Muscle ultrasound and its application to point-of-care ultrasonography: a narrative review.肌肉超声及其在即时超声中的应用:一篇叙述性综述。
Ann Med. 2023 Dec;55(1):190-197. doi: 10.1080/07853890.2022.2157871.
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Diagnostic test accuracy of ultrasound for sarcopenia diagnosis: A systematic review and meta-analysis.超声诊断肌肉减少症的准确性:系统评价和荟萃分析。
J Cachexia Sarcopenia Muscle. 2023 Feb;14(1):57-70. doi: 10.1002/jcsm.13149. Epub 2022 Dec 13.
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Nascent to novel methods to evaluate malnutrition and frailty in the surgical patient.新生的方法来评估手术患者的营养不良和衰弱。
JPEN J Parenter Enteral Nutr. 2023 Feb;47 Suppl 1(Suppl 1):S54-S68. doi: 10.1002/jpen.2420. Epub 2022 Dec 5.
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Validation of GLIM criteria on malnutrition in older Chinese inpatients.GLIM标准在中国老年住院患者营养不良中的验证
Front Nutr. 2022 Sep 15;9:969666. doi: 10.3389/fnut.2022.969666. eCollection 2022.
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Radiol Med. 2022 Mar;127(3):228-237. doi: 10.1007/s11547-022-01450-3. Epub 2022 Jan 18.
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