老年住院病人内在能力下降与衰弱的相关性分析

doi:10.3969/j.issn.1003-9198.2023.03.011

Abstract

Abstract: Objective To explore the relationship between decline of intrinsic capacity (IC) and frailty syndrome in the elderly inpatients. Methods A total of 370 elderly inpatients in our hospital from January 2019 to November 2021 were enrolled, and the FRAIL scale and the intrinsic capacity decline assessment tool were used to evaluate frailty and IC decline of the patients respectively. Multivariate ordinal Logistic regression was used to analyze the influencing factors of frailty and the influence of different dimensions of IC decline on frailty. Results Among the 370 elderly hospitalized patients, 119 (32.2%) presented with non-frailty, 156 (42.2%) with pre-frailty, and 95 (25.7%) with frailty. The score of IC was 4(3, 5), and the patients with decline in activity, nutrition, cognition, vision, hearing and psychology dimension accounted for 67.3%, 23.2%, 25.4%, 58.1%, 35.9% and 12.2%, respectively. Multivariate ordinal Logistic regression analysis indicated that exercise habits, basic activities of daily living (BADL) score, instrumental activities of daily living (IADL) score and the degree of IC decline were the influencing factors of frailty in the elderly inpatients. Depression had the greatest impact on frailty among the six dimensions of IC. Conclusions The decline of IC is common in the elderly inpatients, and the elderly with IC decline are prone to frailty.

Key words: intrinsic capacity, frailty, elderly inpatient

CLC Number:

R 592

SHI Xiao-lan, OUYANG Xiao-jun, SHEN Ling-yu, SHEN Xiao-xing. Relationship between decline of intrinsic capacity and frailty in elderly inpatients[J]. Practical Geriatrics, 2023, 37(3): 256-260.

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Relationship between decline of intrinsic capacity and frailty in elderly inpatients

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