Clinical significance of geriatric conditions in acute hospitalization
Clinical significance of geriatric conditions in acute hospitalization
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急性住院老年疾病的临床意义
DOI：
10.1111/ggi.14523
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Tajima Tomihiko
中科院分区：
文献类型：
--
作者：
Umegaki Hiroyuki;Nagae Masaaki;Komiya Hitoshi;Watanabe Kazuhisa;Yamada Yosuke;Sakai Tomomichi;Tajima Tomihiko
背景：老年疾病（GCs）在老年人群中很常见，但其在急性护理中的临床意义尚不清楚。在这项研究中，我们首先调查了急性老年病房入院时GCs与虚弱和多药的横断面关联。然后，为了阐明GCs在急性护理中的临床意义，我们前瞻性地研究了GCs与医院获得性并发症发生率和出院后后果的关系。方法选取某大学附属医院老年急症病房184例患者（男性40.2%，平均年龄85.0±6.0岁）。我们通过多元回归分析检验了GCs与虚弱和多药的横断面相关性，然后通过多元logistic回归分析检验了GCs与出院后3个月内医院获得性并发症、跌倒和死亡发生率的相关性。结果gcs与虚弱和使用多种药物相关，与多种发病率无关。GCs也与出院后3个月内的再入院有关；然而，与医院获得性并发症、跌倒或出院后死亡率的发生率没有显著关联。结论GCs在住院老年人中具有重要的临床意义，值得进一步研究。Geriatr Gerontol Int 2023；23: 50-53。
BackgroundGeriatric conditions (GCs) are common in the elderly population, but their clinical significance in acute care is not well understood. In this study, we first investigated the cross‐sectional associations of GCs with frailty and polypharmacy at the time of admission to an acute care geriatric ward. Then, to clarify the clinical significance of GCs in acute care, we prospectively examined the association of GCs with the incidence of hospital‐acquired complications and consequences after discharge.MethodsParticipants were 184 patients (40.2% men: mean age 85.0 ± 6.0 years) hospitalized in an acute care geriatric ward at a university hospital. We examined the cross‐sectional associations of GCs with frailty and polypharmacy by multiple regression analysis, and then the associations of GCs with the incidence of hospital‐acquired complications, falls and death within 3 months of discharge by multiple logistic regression analysis.ResultsGCs were associated with frailty and use of polypharmacy, independent of multiple morbidity. GCs were also associated with readmission within 3 months of discharge; however, there was no significant association with the incidence of hospital‐acquired complications, falls, or mortality after discharge.ConclusionsThese findings suggest that GCs are clinically significant in the hospitalized elderly and further research on GCs is warranted.Geriatr Gerontol Int 2023; 23: 50–53.
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影响因子：
3.6
作者：
Shin, Jinyoung;Han, Seol-Heui;Lee, Jongmin
通讯作者：
Lee, Jongmin
DOI：
10.1001/jama.1995.03520410042024
发表时间：
1995-05
期刊：
JAMA
影响因子：
--
作者：
M. Tinetti;S. Inouye;T. Gill;J. Doucette
通讯作者：
M. Tinetti;S. Inouye;T. Gill;J. Doucette
影响因子：
39.2
作者：
Cigolle, Christine T.;Langa, Kenneth M.;Blaum, Caroline S.
通讯作者：
Blaum, Caroline S.
DOI：
10.1016/j.jamda.2016.09.017
发表时间：
2017-03-01
影响因子：
7.6
作者：
Huang, Chi-Chang;Lee, Jenq-Daw;Chang, Chia-Ming
通讯作者：
Chang, Chia-Ming