医院相关失调症的新视野:一种全球性的身心状况。

IF 6 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Carly Welch, Yaohua Chen, Peter Hartley, Corina Naughton, Nicolas Martinez-Velilla, Dan Stein, Roman Romero-Ortuno
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引用次数: 0

摘要

与医院相关的体力衰退是一个广义的术语,非特指因住院而导致的身体任何功能的衰退。众所周知,老年人,尤其是体弱者,面临的风险最大。它历来最常用于描述肌肉质量和功能的下降(即急性肌肉疏松症)。然而,身体机能的衰退并不是孤立发生的,人们认识到,认知功能减退(定义为精神处理延迟,是一个范围的一部分,其一端是急性谵妄)是住院病人经常遇到的情况。虽然 "衰竭 "一词具有描述性,但它可能会导致对与之相关的固有器官功能障碍重视不够,而且还暗示着某种程度上的可逆性。虽然通过早期干预策略可以逆转衰竭,但其长期影响可能是毁灭性的。在这篇文章中,我们总结了有关这一主题的最新研究,包括有前景的新干预措施,并介绍了我们对实施衰弱护理包等工具的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New horizons in hospital-associated deconditioning: a global condition of body and mind.

Hospital-associated deconditioning is a broad term, which refers non-specifically to declines in any function of the body secondary to hospitalisation. Older people, particularly those living with frailty, are known to be at greatest risk. It has historically been most commonly used as a term to describe declines in muscle mass and function (i.e. acute sarcopenia). However, declines in physical function do not occur in isolation, and it is recognised that cognitive deconditioning (defined by delayed mental processing as part of a spectrum with fulminant delirium at one end) is commonly encountered by patients in hospital. Whilst the term 'deconditioning' is descriptive, it perhaps leads to under-emphasis on the inherent organ dysfunction that is associated, and also implies some ease of reversibility. Whilst deconditioning may be reversible with early intervention strategies, the long-term effects can be devastating. In this article, we summarise the most recent research on this topic including new promising interventions and describe our recommendations for implementation of tools such as the Frailty Care Bundle.

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来源期刊
Age and ageing
Age and ageing 医学-老年医学
CiteScore
9.20
自引率
6.00%
发文量
796
审稿时长
4-8 weeks
期刊介绍: Age and Ageing is an international journal publishing refereed original articles and commissioned reviews on geriatric medicine and gerontology. Its range includes research on ageing and clinical, epidemiological, and psychological aspects of later life.
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