住院患者老年综合征发生率及评估分析

Incidence and evaluation of geriatric syndromes in hospitalized patients

目的通过对住院患者老年综合评估tCGA）的分析和总结，探索CGA在老年医学中的应用及意义。方法对我院自2015年7月至2015年10月91例住院患者开展CGA工作。根据年龄进行分组：65～75岁组（6例），75～85岁组（38例），〉85～99岁组（47例），统计各年龄组中老年综合征的发生率及调查人群中所患老年综合征数量的情况。结果全部患者中老年综合征发生率最高的是衰弱59例（64．8％）。按年龄组，65～75岁组中发生率最高的是疼痛2例（33．3％）；76～85组中发生率前三位的是衰弱27例（71．1％）、痴呆18例（47．4％）和跌倒16例（42．1％）；〉85～99岁组中发生率前三位的是衰弱31例（65．9％）、多重用药20例（42．6％）和营养不良19例（40．4％）。多达37．4％的患者存在3～4项常见老年综合征，仅14．2％的患者未发现常见老年综合征。结论衰弱、痴呆、跌倒、多重用药、营养不良是本评估患者中最常见的老年综合征，多数老年患者存在多种常见老年综合征。

Objective To examine the practice and value of comprehensive geriatric assessment（CGA）in geriatric care by conducting comprehensive evaluation of hospitalized elderly patients. Methods CGA was carried out in 91 hospitalized patients at our hospital from July 2015 to October 2015. Patients aged 65-75（6 cases）, 76 85（38 cases）and 〉85-99 years（47 cases）were assigned into three Groups. The incidence of geriatric syndromes in each age group was calculated,and characteristics of geriatric syndromes among the patients were analyzed. Results Frailty had the highest incidence among all age groups 69 （64. 8%）. In Group 65-75 years old, pain was most frequently reported 2（33. 3%）;in Group 76-85 years old, the three most frequent syndromes were frailty,dementia and falls;in Group 85-99 years old,frailty,polypharrnacy and malnutrition occurred most often. Up to 37. 4% of the patients showed coexistence of 3-4 common geriatric syndromes, and only 14. 2% of the patients had none. Conclusions Frailty, dementia, falls, polypharmacy, and malnutrition are the most common geriatric syndromes in hospitalized elderly patients. Coexistence of multiple geriatric syndromes is common among these patients.