標題: | Shared Risk Factors for Distinct Geriatric Syndromes in Older Taiwanese Inpatients |
作者: | Chen, Cheryl Chia-Hui Dai, Yu-Tzu Yen, Chung-Jen Huang, Guan-Hua Wang, Charlotte 統計學研究所 Institute of Statistics |
關鍵字: | acute care of the elderly;frailty;geriatric syndromes;shared risk factors |
公開日期: | 1-Sep-2010 |
摘要: | Background: Identifying shared common risk factors of geriatric syndromes is clinically useful in designing a unified approach to optimizing geriatric care. Objectives: The purpose of this study was to identify older Taiwanese inpatients' common shared risk factors among seven distinct geriatric syndromes: malnutrition, depression, cognitive impairment, functional dependence, incontinence, pressure ulcers, and dehydration. Method: A cross-sectional, hospital-wide survey was conducted to enroll inpatients (N = 455) older than 65 years and admitted to 24 medical and surgical units in a 2,200-bed urban academic medical center in northern Taiwan. Malnutrition was defined as a Mini-Nutritional Assessment score less than 17.5, depression was defined as a Geriatric Depression Scale score more than 10, cognitive impairment was considered a Mini-Mental State Examination score less than 20, and functional dependence was defined as a Barthel Index score less than 50. Incontinence, pressure ulcers, and dehydration were extracted from patients' medical records. Results: Participants had a mean age of 75.3 years (SD = 6.1 years, range = 65-92 years). The prevalence of geriatric syndromes ranged from 5% (pressure ulcers) to 33% (malnutrition). The selected geriatric syndromes were shown through logistic regression analysis to be predicted by female gender (odds ratio [OR] = 1.57-2.75), functional status (OR = 0.94-0.99), cognitive status (OR = 0.82-0.95), nutritional status (OR = 0.74-0.93), and depressive symptoms (OR = 1.07-1.26), supporting the notion of shared risk factors in geriatric syndromes. Conclusions: The findings support the theory that common geriatric syndromes have a shared set of risk factors-female gender, depressive symptoms, and functional, cognitive, and nutritional status. Revising care to target these shared risk factors in preventing common geriatric syndromes is theoretically sound. |
URI: | http://dx.doi.org/10.1097/NNR.0b013e3181eb31f6 http://hdl.handle.net/11536/32221 |
ISSN: | 0029-6562 |
DOI: | 10.1097/NNR.0b013e3181eb31f6 |
期刊: | NURSING RESEARCH |
Volume: | 59 |
Issue: | 5 |
起始頁: | 340 |
結束頁: | 347 |
Appears in Collections: | Articles |