基于老年综合评估及干预的高龄慢性心衰患者远期预后观察

Observation on Long-term Prognosis of Patients aged 80 and over with Chronic Heart Failure based on Comprehensive Geriatrics Assessment and Interventio

目的观察老年综合评估(CGA)及干预对80岁及以上慢性心力衰竭患者远期预后的影响。方法选取2016年3月至2017年2月住院的80岁及以上慢性心力衰竭患者共100例,随机分为CGA干预组和对照组各50例,基线资料均衡。CGA干预组入院时行CGA评估,并根据评估结果制定综合治疗方案,对照组给予对症治疗,随访12个月,比较两组患者的再入院率和死亡率,比较CGA干预组在干预前与干预后各项评估指标的变化。结果 CGA干预组患者的再入院率、死亡率显著低于对照组(P <0. 05)。CGA及干预后各项评估指标均有改善。结论 CGA及干预可降低80岁及以上慢性心力衰竭患者再入院率和死亡率,改善远期预后。

Objective To observe the effect of comprehensive geriatrics assessment(CGA)and intervention on long-term prognosis in patients aged 80 and over with chronic heart failure.Methods From Mar 2016 to Feb 2017,100 elderly patients(age≥80years)with chronic heart failure in department of geriatrics,were randomly divided into the CGA group(n=50)and the control group(n=50).The patients in two groups had a baseline information balance.The patients in the control group were only given routine medication;on this basis,the patients in the CGA group were also given CGA and intervention.All the patients were followed up with in 12 months.The readmission rates and the mortality rates of two groups were compared.The scores of CGA were compared before and after intervention in the CGA group.Results The readmission rate and the mortality rate of the CGA group were significantly lower than those of the control group(P<0.05).The scores of CGA were improved after intervention in the CGA group.Conclusion CGA and intervention significantly reduced the readmission rate and the mortality rate in patients aged 80 and over with chronic heart failure,and effectively improved long-term prognosis.