Đặc điểm hội chứng dễ bị tổn thương ở bệnh nhân viêm cột sống dính khớp tại bệnh viện bạch mai bằng thang điểm CRAF

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Tác giả: Hải Bình Bùi, Minh Phương Đỗ, Văn Hùng Nguyễn, Huyền Trang Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 616.849 Miscellaneous symptoms

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 12-117

Bộ sưu tập: Metadata

ID: 502317

Thêm vào giỏ

Describe the characteristics of frailty syndrome and some related factors in patients with ankylosing spondylitis using the CRAF scale. Subjects and methods: A cross-sectional descriptive study on 110 patients diagnosed with ankylosing spondylitis according to the 1984 modified New York criteria for ankylosing spondylitis, inpatient treatment at the Center for Rheumatology, Bach Mai Hospital since from October 2022 to May 2023. Results: The proportion of patients with the frailty syndrome accounted for 69.1%, of which the rate of mild, modrate, and severe frail was 33.6%, 27.3%, and 8.2%, respectively. In the ten major frailty domains of CRAF: physical activity restriction, pain symptoms, and polypharmacy account for a high proportion: 97.4%, 86.3%, and 69.1%, respectively. There was a relationship between the degree of frailty syndrome and the degree of severity: In the group of very active diseases, the proportion of patients diagnosed with moderate and severe ACS accounted for the highest rate: 88.2%, with p<
0.001. Conclusion: The rate of the frailty syndrome in patients with ankylosing spondylitis is quite high and tends to increase with the level of disease activity.Mô tả đặc điểm hội chứng dễ bị tổn thương (HCDBTT) và một số yếu tố liên quan ở bệnh nhân viêm cột sống dính khớp bằng thang điểm CRAF. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 110 bệnh nhân được chẩn đoán viêm cột sống dính khớp theo tiêu chuẩn của New York cải tiến - 1984, điều trị nội trú tại Trung tâm Cơ Xương Khớp Bệnh viện Bạch Mai từ tháng 9 năm 2022 đến tháng 05 năm 2023. Kết quả: Tỷ lệ bệnh nhân có HCDBTT chiếm 69,1%, trong đó tỷ lệ HCDBTT mức độ nhẹ 33,6%, vừa là 27,3% và nặng 8,2%. Trong 10 tiêu chí của HCDBTT theo thang điểm CRAF: hạn chế hoạt động thể chất, triệu chứng đau và đa thuốc chiếm tỷ lệ cao, lần lượt là: 97,4%, 86,3%, và 69,1%. Về mối liên quan giữa mức độ HCDBTT và mức độ hoạt động bệnh: Trong nhóm bệnh hoạt động rất mạnh tỷ lệ bệnh nhân chẩn đoán HCDBTT mức độ vừa và nặng chiếm tỷ lệ cao nhất: 88,2% khác biệt có ý nghĩa thống kê với p<
0,001. Kết luận: Tỷ lệ hội chứng dễ bị tổn thương ở bệnh nhân viêm cột sống dính khớp khá cao và có xu hướng tăng theo mức độ hoạt động bệnh.

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