在发病率上升的第一波和第二波期间,在医学观察站学生观察中一种新型冠状病毒感染的临床过程特点
- 作者: Turusheva A.V.1, Frolova E.V.1, Bogdanova T.A.1
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隶属关系:
- The North-Western State Medical University named after I.I. Mechnikov
- 期: 卷 25, 编号 1 (2021)
- 页面: 35-43
- 栏目: Original study article
- URL: https://ogarev-online.ru/RFD/article/view/61632
- DOI: https://doi.org/10.17816/RFD61632
- ID: 61632
如何引用文章
详细
引言。老年衰弱综合征的患病率取决于用于识别它的模型、年龄、经济状况、社会地位以及研究人群中的男女比例。不同人群不同模型对老年虚弱综合征的诊断价值不尽相同。
这项研究的目的是用四种不同的诊断模型来评估老年衰弱综合征的患病率,以及其对识别依赖外来帮助的个体的敏感性。
材料和研究方法。随机抽样611名65岁及以上老人。所用模型有:“年龄不是问题”模型、骨质疏松性骨折脆弱指数(SOF Frailty Index, Study of Osteoporotic Fractures Frailty Index)、格罗宁根脆弱指标、弗里德模型。评估参数:营养状况、贫血、功能状态、抑郁、痴呆、慢性病、握力、身体功能水平。
结果。利用表型模型确定的老年衰弱综合征的患病率在16.6%到20.4%之间,而缺陷累积模型的患病率为32.6%。老年衰弱综合征,无论是哪种类型,都与主要老年综合征的患病率增加有关:尿失禁、听力和视力下降、身体功能水平下降、营养不良和营养不良风险、认知能力下降和对外来帮助的依赖(p < 0.05)。确定依赖外来帮助的人的“年龄不是问题”模型、软脆指数和格罗宁根问卷的模型阴性预测值为86-90%。
结论。老年衰弱综合征的患病率(取决于应用的模型)为16.6-32.6%。“年龄不是问题” 模型、软脆指数及格罗宁根脆弱指标诊断模型对识别功能减退的个体有很高的阴性预测价值。无论何种模型,老年衰弱综合征与主要老年综合征的发生率增加密切相关。
作者简介
Anna Turusheva
The North-Western State Medical University named after I.I. Mechnikov
编辑信件的主要联系方式.
Email: anna.turusheva@gmail.com
ORCID iD: 0000-0003-3347-0984
SPIN 代码: 9658-8074
Scopus 作者 ID: 57189466350
Researcher ID: U-3654-2017
MD, PhD, Associate Professor
俄罗斯联邦, 41 Kirochnaya str., Saint Petersburg, 191015Elena Frolova
The North-Western State Medical University named after I.I. Mechnikov
Email: elena.frolova@szgmu.ru
ORCID iD: 0000-0002-5569-5175
SPIN 代码: 1212-0030
Scopus 作者 ID: 37037140300
Researcher ID: O-4134-2014
MD, PhD, DSc, Professor
俄罗斯联邦, 41 Kirochnaya str., Saint Petersburg, 191015Tatiana Bogdanova
The North-Western State Medical University named after I.I. Mechnikov
Email: olentanya@mail.ru
SPIN 代码: 4126-6041
MD
俄罗斯联邦, 41 Kirochnaya str., Saint Petersburg, 191015参考
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