背景:残疾通常与较低的生活质量和自我护理能力下降有关。已经证明,多发病率与各种不利事件密切相关,比如残疾。研究人员仍在研究合并症如何以及在多大程度上影响残疾,不过。为了填补这个空白,本研究调查了患有多发病率的老年患者的残疾患病率和影响变量.
方法:我们对Pubmed,科克伦图书馆,WebofScience,Embase,和CINAL数据库,用于从开始到2023年9月的文章。我们选择了年龄>60岁的同病老年人,并使用ADL量表或任何评估残疾的量表作为评估工具。我们排除了不符合标准的文献,和文献不能包括在我们需要的数据中。我们从纳入的文献中提取数据,并计算综合患病率,ORs,95%的置信区间。
结果:共32篇论文(71,135名老年人)被纳入研究。老年多病患者的残疾患病率约为34.9%(95%CI=25.8-43.9%)。亚组分析显示,年龄较大的合并症患者的残疾率较高,女性,未婚,以及卫生服务的长期使用者。并且残疾的发生率逐年增加。同时,美国的地区,中国,西班牙的残疾率较高。
结论:老年多病患者的致残率更高,因此,在充分考虑区域差异的同时,关注风险因素是至关重要的。
BACKGROUND: Disability is typically correlated with lower quality of life and decreased capacity for self-care. It has been demonstrated that multimorbidity is closely linked to a variety of unfavorable events, such as disability. Researchers are still figuring out how and to what extent co-morbidities impact disability, though. In order to fill up this gap, this study examines the prevalence and contributing variables of disability in older patients who have multimorbidity.
METHODS: We conducted a systematic search of Pubmed, Cochrane Library, Web of Science, Embase, and CINAL databases for articles from their inception until September 2023. We selected co-morbid older adults aged > 60 years and used the ADL scale or any scale that assesses disability as an assessment tool. We excluded literature that did not meet the criteria, and literature that could not be included in the data we needed. We extracted data from the included literature and calculated synthetic prevalence rates, ORs, and 95% confidence intervals.
RESULTS: A total of 32 papers (71,135 older adults) were included in the study. The prevalence of disability among older patients with multimorbidity was around 34.9% (95% CI = 25.8-43.9%). Subgroup analysis showed higher rates of disability among comorbidities who were older, female, unmarried, and long-term users of health services. And the incidence of disability increased each year. Meanwhile, the regions of the United States, China, and Spain showed higher rates of disability.
CONCLUSIONS: Disability rates in older patients with multimorbidity are higher, thus it\'s critical to focus on risk factors while fully accounting for regional variances.