Frailty in an Older Inpatient Population
Frailty in an Older Inpatient Population
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老年住院患者的虚弱状况
DOI：
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发表时间：
2015
影响因子：
2.8
通讯作者：
C. Shanley
中科院分区：
文献类型：
--
作者：
D. Basic;C. Shanley
目的：评估虚弱的影响，使用加拿大健康与老龄化研究临床虚弱量表测量，对急性疾病住院的老年人的结果。方法：连续患者随机分为模型开发组和模型验证组。多变量分析用于建立住院死亡率、新养老院安置和住院时间的模型。在开发样本中选择的变量在验证样本中进行了测试。结果：2125例患者的平均年龄为82.9岁。大多数（93.6%）是通过急诊科入院的。虚弱可以预测住院死亡率（比值比[OR] = 2.97[2.11, 4.17]）、新养老院安置（OR = 1.60[1.14, 2.24]）和住院时间（风险比= 0.87[0.81,0.93]）。讨论：虚弱是急性疾病住院的老年人不良结果的一个强有力的预测因子。提高对其影响的认识可能会提醒临床医生对虚弱进行筛查。
Objective: To evaluate the impact of frailty, measured using the Canadian Study of Health and Aging Clinical Frailty Scale, on outcomes of older people hospitalized with acute illness. Method: Consecutive patients were randomly allocated to a model development sample or a model validation sample. Multivariate analyses were used to model in-hospital mortality, new nursing home placement, and length of stay. Variables selected in the development samples were tested in the validation samples. Results: The mean age of all 2,125 patients was 82.9 years. Most (93.6%) were admitted through the emergency department. Frailty predicted in-hospital mortality (odds ratio [OR] = 2.97 [2.11, 4.17]), new nursing home placement (OR = 1.60 [1.14, 2.24]), and length of hospital stay (hazard ratio = 0.87 [0.81, 0.93]). Discussion: Frailty is a strong predictor of adverse outcomes in older people hospitalized with acute illness. An increased awareness of its impact may alert clinicians to screen for frailty.
DOI：
10.1016/j.jamcollsurg.2010.01.028
发表时间：
2010-06-01
影响因子：
5.2
作者：
Makary, Martin A.;Segev, Dorry L.;Fried, Linda P.
通讯作者：
Fried, Linda P.