A. AGUILERA, M. PI-FIGUEWS, M. ARELLANO, R.M. TORRES, M.P. GARCÍA-CASELLES, M.J. ROBLES, R. MIRALLES, A.M. CERVERA
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引用次数: 0
摘要
认知障碍和抑郁通常与老年患者预后不良有关。两者都属于“发育不良综合征”(FTS)的一部分,这是老年患者因功能、精神和营养状况的进行性损害而导致的一组综合症状。本文旨在评估在老年康复病房(GCU)(中间护理机构)死亡的患者是否存在FTS,并比较原发性FTS(与明显可识别疾病无关)和继发性FTS(与明显可识别疾病相关)患者的特征。最后,我们想分析入院前是否存在认知障碍与FTS的类型有关。我们回顾性分析了78例患者。以下三个条件的存在对于定义FTS是必要的:(i)功能受损和营养不良。(ii)认知障碍和/或抑郁症。(三)在住院期间实施特定的老年干预方案后,病情没有改善。评估入院前基本和辅助日常生活活动的功能状态(ADL和IADL)以及是否存在认知障碍症状。在分析的78例患者中,有30例(38.4%)有FTS症状。继发性FTS 17例(56.6%),原发性FTS 13例(43.3%)。最后一组患者的平均年龄明显更高(84.7 +/- 5.8 vs. 78.6 +/- 7.2;p < 0.02),入院前患者对ADL的依赖程度显著提高:10例(76.9%)比7例(41.0%),χ 2 = 3.833, p < 0.05。原发性FTS患者入院前认知功能障碍的比例高于继发性FTS患者,但差异无统计学意义。与继发性FTS患者相比,原发性FTS患者在入院前似乎年龄更大,对ADL的依赖性更强。
期刊介绍:
Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published.
Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.