目的:确定不同中间护理资源的老年人群中老年综合征(GS)的患病率,以及它与医院内死亡率的关系。
方法:一项前瞻性观察性描述性研究,在2018年7月至2019年9月期间在维克地区(巴塞罗那)的中间护理资源中进行。所有年龄≥65岁和/或符合复杂慢性病患者和/或晚期慢性病标准的人,使用脆弱VIG指数(IF-VIG)的触发问题评估了GS的存在,在基线时施用,在入场时,出院时和出院后30天。
结果:纳入了442名参与者,其中55.4%是女性,平均年龄83.48岁.虚弱之间存在显著差异(P<.05)。入院时与中间护理资源相关的GS的年龄和数量。住院期间死亡的患者组(占样本的24.7%)与幸存者之间的GS患病率存在显着差异:在基线情况下(营养不良,吞咽困难,谵妄,失去自主权,压疮,和失眠),以及在入学评估(跌倒,营养不良,吞咽困难,认知障碍,谵妄,失去自主权,和失眠)。
结论:在中间护理资源中,GS的患病率与院内死亡率之间存在密切的关系。在缺乏更多研究的情况下,使用IF-VIG作为GS的筛查清单可能有助于其检测.
To determine the prevalence of geriatric syndromes (GS) in the geriatric population of the different intermediate care resources, as well as its relationship with intrahospital mortality.
A prospective observational descriptive
study, carried out in intermediate care resources in the Vic area (Barcelona) between July 2018 and September 2019. All people aged ≥65 years and/or criteria of complex chronic patient and/or advanced chronic disease, who were assessed for the presence of GS using the trigger questions of the Frail VIG-Index (IF-VIG), administered at baseline, on admission, on discharge and 30 days after discharge.
Four hundred and forty-two participants were included, of which 55.4% were women, with a mean age of 83.48 years. There are significant differences (P<.05) between frailty, age and number of GS in relation to the intermediate care resource at the time of admission. There were significant differences in the prevalence of GS between the group of patients who died during the hospitalization (24.7% of the sample) in relation to the survivors: both in a situation baseline (malnutrition, dysphagia, delirium, loss of autonomy, pressure ulcers, and insomnia), as well as in the admission assessment (falls, malnutrition, dysphagia, cognitive impairment, delirium, loss of autonomy, and insomnia).
There is a close relationship between the prevalence of GS and in-hospital mortality in intermediate care resources. In the absence of more studies, the use of the IF-VIG as a screening checklist for GS could be useful for its detection.