Mối liên quan giữa hội chứng dễ bị tổn thương với kết quả điều trị, một số biến cố bất lợi về sức khỏe ở người bệnh cao tuổi bị suy tim điều trị nội trú the=Association between frailty syndrome and treatment outcomes and some adverse health events in elderly heart failure inpatients

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Tác giả: Thị Hương Đào, Hữu Tân Nguyễn, Ngọc Tâm Nguyễn, Thị Cẩm Ly Nguyễn, Thị Mai Thơ Nguyễn, Hồng Phương Phạm, Thắng Phạm, Thị Linh Thái

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.47-53

Bộ sưu tập: Metadata

ID: 477953

Thêm vào giỏ

Nhận xét mối liên quan giữa hội chứng dễ bị tổn thương với kết quả điều trị và một số biến cố bất lợi về sức khỏe ở người bệnh cao tuổi bị suy tim điều trị nội trú. Phương pháp: Mô tả cắt ngang có phân tích, trên 306 người bệnh tuổi từ 60 trở lên điều trị nội trú tại khoa Cấp cứu và Trung tâm tim mạch, Bệnh viện Hữu nghị đa khoa Nghệ An, từ tháng 4/2022 – 2/2023. Chẩn đoán suy tim theo Hướng dẫn chẩn đoán và điều trị suy tim cấp và mạn tính, của Bộ Y tế năm 2020. Xác định tình trạng hội chứng dễ bị tổn thương theo thang điểm Edmonton cải tiến- REFS. Kết quả nghiên cứu: Kết quả cho thấy, HCDBTT là vấn đề sức khỏe thường gặp ở người bệnh cao tuổi bị suy tim chiếm 58,8%. Tình trạng dễ bị tổn thương ở người bệnh cao tuổi suy tim có mối liên quan có ý nghĩa với biến cố viêm phổi, rối loạn nhịp tim trong thời gian điều trị. Kết luận: Người bệnh mắc HCDBTT có thời gian điều trị nội trú dài hơn, mức độ giảm bậc NYHA và ProBNP kém hơn và có nguy cơ mắc các biến cố trong thời gian nằm viện cao hơn người bệnh không mắc HCDBTT.To assess the relationship between frailty syndrome and treatment outcomes, as well as adverse health events, in elderly inpatients with heart failure. Methods: A cross-sectional analytical study was conducted on 306 patients aged 60 and above, hospitalized at the Emergency Department and the Cardiovascular Center of Nghe An General Friendship Hospital from April 2022 to February 2023. Heart failure was diagnosed according to the 2020 Ministry of Health guidelines for the diagnosis and treatment of acute and chronic heart failure. Frailty syndrome was determined using the modified Edmonton Frail Scale (REFS). Results: Frailty syndrome was a common health issue in elderly heart failure patients, affecting 58.8% of the study population. Frailty was significantly associated with adverse events, such as pneumonia and arrhythmias, during treatment. Conclusion: Patients with frailty syndrome had longer hospital stays, poorer improvements in NYHA classification and ProBNP levels, and a higher risk of in-hospital complications compared to non-frail patients.

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