We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
术前衰弱对老年心脏手术患者术后跌倒坠床发生率、认知功能 和日常生活活动能力的影响分析.
- Authors
褚晓; 傅娆; 徐文婷; 叶菊; 陆真
- Abstract
Objective: To investigate the effect of preoperative weakness on the incidence of falls, cognitive function and activities of daily living in elderly patients undergoing cardiac surgery. Methods: A total of 271 elderly patients who were admitted to our hospital from January 2018 to January 2021 were selected for cardiac surgery. According to whether they were combined with frailty before operation, the patients were divided into frail group and non-frail group, and the two groups were compared. The incidence of post-fall and bed fall, the incidence of complications, the length of hospital stay, and the changes of preoperative and postoperative cognitive function and activities of daily living. Results: Among the 271 patients, 78 (28.78%) met the judgment of frailty. The incidence of falls and complications in the frail group was higher than that in the non-frail group, and the hospital stay was longer than that in the non-frail group, and the difference was statistically significant (P<0.05). The Mini-Mental State Examination (MMSE) scores of the two groups were lower than those before operation 7 days after operation, and the MMSE scores of the debilitated group were lower than those of the non-debilitated group 7 days after operation, and the difference was statistically significant (P<0.05). The incidence of postoperative cognitive dysfunction (POCD) in the debilitated group was 11.54% (9/78), which was higher than 1.04% (2/193) in the non-debilitated group, and the difference was statistically significant (P<0.05). The scores of basic activities of daily living (BADL) and instrumental activities of daily living (IADL) in the two groups were lower than those before operation at 7 days after operation. There is statistical significance (P<0.05). Conclusions: Elderly patients with preoperative frailty have a higher incidence of falls and complications after cardiac surgery than non-frail patients. Cognitive function and activities of daily living are more affected, and postoperative recovery is slower.
- Subjects
OLDER patients; ACTIVITIES of daily living; MINI-Mental State Examination; LENGTH of stay in hospitals; CARDIAC surgery
- Publication
Progress in Modern Biomedicine, 2022, Vol 22, Issue 23, p4441
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2022.23.008