[老年人的糖尿病与虚弱:一项针对门诊患者的横断面研究]。

IF 0.4 4区 医学 Q4 PSYCHIATRY
Abrar-Ahmad Zulfiqar, Aurore Delacour, Alexandre Sebaux, Emmanuel Andres
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引用次数: 0

摘要

虚弱综合征是死亡风险、依赖性和机构化的标志,目前建议在初级保健中筛查虚弱综合征,以有效预防其后果。老年糖尿病患者在全科医生的病人中占很大比例,而且这一比例还在不断增加,但与非糖尿病患者相比,他们的虚弱状况却鲜为人知。研究对象为全科医生中 75 岁及以上的糖尿病患者,目的是研究糖尿病与虚弱之间的关系。研究共纳入 309 名患者,其中 64 人为糖尿病患者,男女比例为 0.72。糖尿病患者(24%)和非糖尿病患者(27.6%)中体弱老人的比例相当,弗里德平均得分(1.78 对 1.56;无显著性差异)也相当。亚组分析表明,无并发症的糖尿病患者与非糖尿病患者相比,体弱风险增加了 2.14 倍,差异显著,[95 % CI=2.03 至 2.25,p]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Diabetes and frailty in the elderly: a cross-sectional study of an outpatient population].

Screening for frailty syndrome, a marker of mortality risk, dependence, and institutionalization, is currently recommended in primary care to prevent its consequences effectively. Elderly diabetic individuals represent a significant and growing proportion of general practitioners' patient population, but their frailty status compared to the non-diabetic population is poorly understood. To study the relationship between diabetes and frailty in individuals aged 75 and older in general medicine. A total of 309 patients were included, among them 64 were diabetic patients, with a male/female ratio of 0.72. The proportion of frail elderly people was comparable between diabetics (24 %) and non-diabetics (27.6 %), as was the mean Fried score (1.78 vs. 1.56; not significant). Subgroup analysis revealed a significant difference in the risk of frailty, which was multiplied by 2.14 in diabetics without complications compared with non-diabetics, [95 % CI=2.03 to 2.25, p<2e(-16)]. Larger-scale studies at multiple outpatient sites should be conducted in general medicine among subjects aged over 75. Frailty management should be continued and carried out in patients whether they are diabetic or not.

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来源期刊
CiteScore
0.70
自引率
16.70%
发文量
0
审稿时长
6-12 weeks
期刊介绍: D''une qualité scientifique reconnue cette revue est, la première revue francophone gériatrique et psychologique indexée dans les principales bases de données internationales. Elle couvre tous les aspects médicaux, psychologiques, sanitaires et sociaux liés au suivi et à la prise en charge de la personne âgée. Que vous soyez psychologues, neurologues, psychiatres, gériatres, gérontologues,... vous trouverez à travers cette approche originale et unique, un veritable outil de formation, de réflexion et d''échanges indispensable à votre pratique professionnelle.
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