老年康复住院病人经常（同时）出现老年综合症：RESORT和EMPOWER-GR。

IF 3.6 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.apmr.2024.05.021

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引用次数: 0

摘要

目的确定老年康复住院患者中常见老年综合症的患病率和并发率：设计：RESORT 和 EMPOWER-GR 是观察性纵向队列：环境：老年康复参与者：老年康复住院患者老年康复住院患者：不适用主要结局指标：老年病综合征包括多药、多病（CIRS）、认知障碍、抑郁（HADS/GDS）、营养不良（GLIM）、功能限制（Katz指数）、跌倒、体质虚弱（Fried）和肌肉疏松症（EWSGOP2）：RESORT（R）住院患者（1890 人，56% 为女性）的中位年龄为 83.4 岁（四分位数间距：[77.6-88.4]），EMPOWER-GR（E）住院患者（200 人，57% 为女性）的中位年龄为 79.8 岁[75.0-85.9]。多药（R：82.2%；E：84.0%）、多病（R：90.4%；E：85.5%）、功能受限（R：96.0%；E：76.5%）和体弱（R：91.8%；E：92.2%）是最普遍的情况。在两个队列中，大多数住院患者在入院时患有五种或五种以上老年综合征（R：70.0%；E：72.4%）；只有少数住院患者患有一种老年综合征（R：0.4%；E：1.5%）或没有老年综合征（R：0.2%；E：0.0%）。除了多病（R: 1%；E: 5%）、功能受限（R: 3%；E: 2%）、跌倒（R: 0%；E: 4%）和虚弱（R: 2%；E: 5%）在一些住院患者中单独出现外，其他老年综合征均未单独出现（没有其他综合征）；肌肉疏松症未单独出现：结论：老年康复入院时，老年综合征非常普遍，中位数为五种并发综合征。应进一步探讨其对诊断和干预潜力的影响。

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Geriatric Syndromes Frequently (Co)-Occur in Geriatric Rehabilitation Inpatients: Restoring Health of Acutely Unwell Adults (RESORT) and Enhancing Muscle Power in Geriatric Rehabilitation (EMPOWER-GR)

Objective

To determine the prevalence and co-occurrence of common geriatric syndromes in geriatric rehabilitation inpatients.

Design

Restoring Health of Acutely Unwell Adults (RESORT) and Enhancing Muscle Power in Geriatric Rehabilitation (EMPOWER-GR) are observational, longitudinal cohorts.

Setting

Geriatric rehabilitation.

Participants

Geriatric rehabilitation inpatients (N=1890 and N=200).

Interventions

Not applicable.

Main Outcome Measures

Geriatric syndromes included polypharmacy, multimorbidity (Cumulative Illness Rating Scale), cognitive impairment, depression (Hospital Anxiety and Depression Scale/Geriatric Depression Scale), malnutrition (Global Leadership Initiative on Malnutrition), functional limitation (Katz index), falls, physical frailty (Fried), and sarcopenia (European Working Group on Sarcopenia in Older People 2).

Results

Inpatients in RESORT (R) (N=1890, 56% females) had a median age of 83.4 years (interquartile range [IQR], 77.6-88.4) and in EMPOWER-GR (E) (N=200, 57% females) of 79.8 years (IQR, 75.0-85.9). Polypharmacy (R, 82.2%; E, 84.0%), multimorbidity (R, 90.4%; E, 85.5%), functional limitation (R, 96.0%; E, 76.5%), and frailty (R, 91.8%; E, 92.2%) were most prevalent. Most inpatients had ≥5 geriatric syndromes at admission in both cohorts (R, 70.0%; E, 72.4%); few inpatients had only 1 (R, 0.4%; E, 1.5%) or no geriatric syndrome (R, 0.2%; E, 0.0%). Geriatric syndromes did not occur in isolation (without other syndromes), except for multimorbidity (R, 1%; E, 5%), functional limitation (R, 3%; E, 2%), falls (R, 0%; E, 4%), and frailty (R, 2%; E, 5%), which occurred in isolation in some inpatients; sarcopenia did not.

Conclusions

Geriatric syndromes are highly prevalent at admission to geriatric rehabilitation, with a median of 5 co-occurring syndromes. Implications for diagnosis and intervention potential should be further addressed.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.