OBSTRUCTIVE SLEEP APNEA SYNDROME MAY BE A SIGNIFICANT CAUSE OF GASTROESOPHAGEAL REFLUX DISEASE IN OLDER PEOPLE
OBSTRUCTIVE SLEEP APNEA SYNDROME MAY BE A SIGNIFICANT CAUSE OF GASTROESOPHAGEAL REFLUX DISEASE IN OLDER PEOPLE
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阻塞性睡眠呼吸暂停综合征可能是老年人胃食管反流病的一个重要原因
DOI：
10.1111/j.1532-5415.1999.tb05216.x
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发表时间：
1999
影响因子：
6.3
通讯作者：
Yasuyoshi Ouchi
中科院分区：
文献类型：
--
作者：
S. Teramoto;E. Ohga;H. Matsui;T. Ishii;T. Matsuse;Yasuyoshi Ouchi
我们发现 IADL 残疾总分是随后住院治疗、家庭医疗保健和社会服务利用的重要预测因素。个人 IADL 残疾也预示着特定卫生服务的使用。无法独立做家务可预测住院（优势比 = 2.3）以及使用家庭医疗保健（优势比 = 2.6）和社会服务（优势比 = 6.2）。无法独立购物预测了家庭医疗保健（优势比 = 2.3）和社会服务（优势比 = 4.2）的使用。无法独立前往步行距离之外的地方预示着家庭医疗保健的使用（优势比 = 3.7）和社会服务的使用（优势比 = 3.2）。无法独立准备膳食可预测社会服务的使用（优势比 = 4.7）。在调整其他易感、有利和需求特征后，个人 IADL 可以预测家庭健康和社会服务的使用，但不能预测急症护理服务的使用。识别全球和特定的 IADL 残疾可以帮助预测未来对不同健康和人类服务的利用。功能能力的测量可能有助于更准确地针对有特定需求和残疾的人进行干预。
nitive impairment, we found that total IADL disability scores were significant predictors of subsequent hospitalization, home health care, and social services utilization. Individual IADL disabilities also predicted use of specific health services. Inability to do housework independently predicted hospitalization (odds ratio = 2.3) and use of home health care (odds ratio = 2.6) and social services (odds ratio = 6.2). Inability to shop independently predicted use of home health care (odds ratio = 2.3) and social services (odds ratio = 4.2). Inability to go independently to places out of walking distance predicted home healthcare use (odds ratio = 3.7) and social services use (odds ratio = 3.2). Inability to prepare meals independently predicted social services use (odds ratio = 4.7). Individual IADLs predict the use of home health and social services, but not the use of acute care services, after adjusting for other predisposing, enabling, and need characteristics. Identifying global and specific IADL disabilities can help predict future utilization of different health and human services. Measurement of functional ability may help to target interventions more precisely to those with specific needs and disabilities.