急诊老年患者衰弱现况及影响因素的调查研究

doi:10.3761/j.issn.2096-7446.2023.04.018

Abstract

Abstract: Objective To investigate the status of frailty in emergency elderly patients and analyze the influencing factors. Methods Using the continuous sampling method,we selected 254 elderly patients hospitalized in the emergency department of a tertiary class A hospital in Shanghai from November 2021 to February 2022 as the research subjects,and divided them into frailty group and non-frailty group. The general data questionnaire and Chinese Geriatric Frailty Screening Scale were used for survey and data collection. Results Frailty occurred in 72 emergency elderly inpatients（28.3%）. The scores of frailty were significantly different among patients at different ages, with different health status, respiratory function, multiple medication,multiple comorbidity,hemoglobin,BMI,hospitalization in the past year（P<0.05）. Logistic regression showed that BMI≥24（OR=0.422）was a protective factor for frailty in elderly emergency patients,poor health（OR=8.951）,multiple comorbidities（OR=3.983）,and low hemoglobin（OR=2.083）were risk factors for frailty（all P<0.05）. Conclusion The incidence of elderly frailty is high,and it is necessary to establish and improve frailty assessment and intervention mechanism for elderly inpatients in emergency department.

Key words: Aged, Frailty, Emergency Service, Hospital, Factor Analysis, Statistical

WANG Qinyi, GUAN Lingzhi, QIAN Ying, YANG Piaoyu. Investigation of the status and influencing factors of frailty in emergency elderly patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(4): 359-363.

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Investigation of the status and influencing factors of frailty in emergency elderly patients

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