Factors associated with geriatric syndromes in older homeless adults.
Factors associated with geriatric syndromes in older homeless adults.
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DOI：
10.1353/hpu.2013.0077
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发表时间：
2013-05
影响因子：
1.4
通讯作者：
Mitchell SL
中科院分区：
文献类型：
--
作者：
Brown RT;Kiely DK;Bharel M;Mitchell SL
虽然无家可归的老年人有很高的老年综合征的发病率，这些综合征的危险因素尚不清楚。我们使用多变量回归来估计受试者特征与250名50岁及以上无家可归成年人的老年综合征总数之间的关联。老年综合征包括福尔斯、认知障碍、虚弱、重度抑郁、感觉障碍和尿失禁。较高的老年综合征总数与高中教育程度以下、医学合并症（糖尿病和关节炎）、酒精和药物使用问题以及难以进行一项或多项ADL相关。照顾具有这些特征的无家可归的老年患者的临床医生应该考虑对他们进行老年综合征筛查。此外，这项研究确定了潜在的可修改的危险因素与老年综合征的总数在老年无家可归的成年人。这些知识可以为临床干预提供目标，以改善无家可归的老年患者的健康状况。
Although older homeless adults have high rates of geriatric syndromes, risk factors for these syndromes are not known. We used multivariable regression to estimate the association of subject characteristics with the total number of geriatric syndromes in 250 homeless adults aged 50 years and older. Geriatric syndromes included falls, cognitive impairment, frailty, major depression, sensory impairment, and urinary incontinence. A higher total number of geriatric syndromes was associated with having less than a high school education, medical comorbidities (diabetes and arthritis), alcohol and drug use problems, and difficulty performing one or more ADLs. Clinicians who care for older homeless patients with these characteristics should consider screening them for geriatric syndromes. Moreover, this study identifies potentially modifiable risk factors associated with the total number of geriatric syndromes in older homeless adults. This knowledge may provide targets for clinical interventions to improve the health of older homeless patients.
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