[65岁及以上慢性心力衰竭患者认知状况与其他老年综合征之间的关系]

Q4 Medicine
A D Izyumov, K A Eruslanova, E A Mkhitaryan, M A Fedin, Y V Kotovskaya, O N Tkacheva
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引用次数: 0

摘要

本文介绍了 65 岁及以上慢性心力衰竭患者老年综合征的发病率,具体取决于认知状况。俄罗斯老年学中心根据 2021 年欧洲标准挑选了 149 名确诊为慢性心力衰竭的患者。在这个样本中,50.3%的患者有轻度认知障碍,17.5%的患者有严重认知障碍。随着年龄的增长,认知障碍的发生率和严重程度都在增加。在认知功能受损的患者中,基本日常生活和工具性活动减少、营养不良和营养不良风险高、体弱和听力损失的患者较多。此外,随着认知功能的下降,巴特尔和劳顿指数、迷你营养评估、短期体能表现电池、卢本社会网络量表的中位数得分也在下降,而莫尔斯跌倒风险量表和老年抑郁量表的中位数则在上升。听力损失导致被诊断为认知障碍的几率增加了 3.6 倍,出现虚弱综合征、日常生活基本依赖或营养不良的几率增加了 2.4 倍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Relationship between cognitive status and other geriatric syndromes in patients aged 65 years and older with chronic heart failure.]

This article presents the incidence of geriatric syndromes in patients with chronic heart failure 65 years of age and older, depending on cognitive status. At the Russian gerontological center, 149 people with confirmed chronic heart failure were selected according to the European criteria of 2021. In this sample, 50,3% of patients had mild cognitive impairment, and 17,5% had severe cognitive impairment. With age, the incidence and severity of cognitive impairment increased. Among patients with cognitive impairment, there were more patients with reduced basic and instrumental activities of daily living, with a high risk of malnutrition and malnutrition, frailty and patients with hearing loss. Also, as cognitive functions declined, the median score of the Barthel and Lawton index, the mini nutritional assessment, the short physical performance battery, the Lubben social network scale decreased, and the median of the Morse fall risk scale and the geriatric depression scale increased. The presence of hearing loss was associated with a 3,6-fold increase in the odds of being diagnosed with cognitive impairment, and the presence of frailty syndrome, basic dependence in daily life, or the risk of malnutrition by a 2,4-fold increase.

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CiteScore
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