This study was conducted to investigate the clinical effects of applying the integrated geriatric assessment team approach on the care of elderly patients with debilitating syndromes.This study was conducted in Xi’an...This study was conducted to investigate the clinical effects of applying the integrated geriatric assessment team approach on the care of elderly patients with debilitating syndromes.This study was conducted in Xi’an Jiaotong University hospital from January 2021 to January 2022.Around 50 patients with the geriatric debilitating syndrome were selected and retrospectively were analyzed,and psychiatrists,geriatric nurses,pharmacists,medical specialists,physiotherapists,and dieticians were selected to form a comprehensive geriatric assessment team.The patients were then assessed,a treatment plan was developed,and care was provided according to the actual situation,and the effectiveness of the clinical intervention was analyzed.This study demonstrated that,of the 50 patients in this study,the longest hospital stay was 15 days,while the shortest was 4 days,and the average length of stay was 10.23±4.37 days.Around 40 of the patients were able to eat on their own and consume food as prescribed,with a compliance rate of 80%,showing the effectiveness rate of the geriatric assessment team.In summary,the use of a comprehensive geriatric assessment team to treat and care for patients with debilitating syndromes in the elderly is an effective way,and this can significantly improve the life quality of the patients.展开更多
Chronic pain,characterized by pain lasting for more than three months,is a debilitating condition frequently caused by conditions such as fibromyalgia,arthritis,neuropathy,and migraine[1-3].
Obsessive-Compulsive Disorder(OCD)is a chronic and debilitating mental health condition that affects~2%to 3%of the global population[1],leading to significant functional impairment and reduced quality of life.Characte...Obsessive-Compulsive Disorder(OCD)is a chronic and debilitating mental health condition that affects~2%to 3%of the global population[1],leading to significant functional impairment and reduced quality of life.Characterized by intrusive thoughts and repetitive behaviors,OCD is typically managed with selective serotonin reuptake inhibitors(SSRIs)and cognitive-behavioral therapy,particularly exposure and response prevention.However,~25%to 40%of patients do not respond adequately to these firstline treatments,and many who do respond continue to experience residual symptoms[2].展开更多
Objective To assess the frailty status of patients with heart failure undergoing CRT-D and then explore the predictive value of frailty for all-cause mortality and heart failure-related readmissions in these patients....Objective To assess the frailty status of patients with heart failure undergoing CRT-D and then explore the predictive value of frailty for all-cause mortality and heart failure-related readmissions in these patients.Methods We retrospectively included 374 patients with chronic heart failure who underwent CRT-D treatment at the First Affiliated Hospitalof Xinjiang NMedical University between June 2020 and June 2024.Based on the Tilburg Debilitation Assessment Scale,175 patients(46.8%)were classified as frail while 199(53.2%)were classified as non-frail.The baseline data between the two groups was compared using Cox regression analysis and Kaplan-Meier curveswere used for survival analysis.P-values of<0.05 indicated statistically significant differences.Results A total of 374 patients aged 25-93(68±11)years were enrolled in this study,101(27.0%)of whom were female.Among these,175(46.8%)were categorized as frail,and 199(53.2%)were classified as non-frail.Over a median follow-up time of 23(5,45)months,35(9.4%)patients experienced all-cause mortality,with 30(17.1%)deaths occurring in the frail group and 5(2.5%)in the non-frail group;meanwhile,readmission events due to heart failure occurred in a total of 174(46.5%)patients,including 122(70.1%)in the frail group,and 52(29.9%)in the non-frail group.Cox analysis showed that frailty was a significant determinant of all-cause mortality(HR=21.25,95%CI 3.99-113.30,P<0.001)and readmission among heart failure patients receiving CRT-D(HR=2.52,95%CI 1.73-3.68,P<0.001).Log-rank tests showed that the survival rate of patients in the frail group was significantly lower than that of patients in the non-frail group(HR=7.22,95%CI 2.80-18.60,P<0.001)and the risk of readmission events due to heart failure was significantly higher among patients in the frail group than among those in the non-frail group(HR=2.75,95%CI 1.98-3.81,P<0.001).Conclusion Frailty is an independent predictor of postoperative all-cause mortality and the occurrenceof heart failure-related readmissions in patients with heart failure receiving CRT-D.展开更多
文摘This study was conducted to investigate the clinical effects of applying the integrated geriatric assessment team approach on the care of elderly patients with debilitating syndromes.This study was conducted in Xi’an Jiaotong University hospital from January 2021 to January 2022.Around 50 patients with the geriatric debilitating syndrome were selected and retrospectively were analyzed,and psychiatrists,geriatric nurses,pharmacists,medical specialists,physiotherapists,and dieticians were selected to form a comprehensive geriatric assessment team.The patients were then assessed,a treatment plan was developed,and care was provided according to the actual situation,and the effectiveness of the clinical intervention was analyzed.This study demonstrated that,of the 50 patients in this study,the longest hospital stay was 15 days,while the shortest was 4 days,and the average length of stay was 10.23±4.37 days.Around 40 of the patients were able to eat on their own and consume food as prescribed,with a compliance rate of 80%,showing the effectiveness rate of the geriatric assessment team.In summary,the use of a comprehensive geriatric assessment team to treat and care for patients with debilitating syndromes in the elderly is an effective way,and this can significantly improve the life quality of the patients.
基金supported by the National Natural Science Foundation of China(T2241028)the STI2030-Major Projects[2021ZD0203000(2021ZD0203003)]the Chinese Academy of Sciences Hundred Talents Program.
文摘Chronic pain,characterized by pain lasting for more than three months,is a debilitating condition frequently caused by conditions such as fibromyalgia,arthritis,neuropathy,and migraine[1-3].
基金supported by the STI2030-Major Projects(2021ZD0203000(2021ZD0203003))the Chinese Academy of Sciences(CAS)Pioneer Hundred Talents Program,and the Open Research Fund of the State Key Laboratory of Brain-Machine Intelligence,Zhejiang University(BMI2400014).
文摘Obsessive-Compulsive Disorder(OCD)is a chronic and debilitating mental health condition that affects~2%to 3%of the global population[1],leading to significant functional impairment and reduced quality of life.Characterized by intrusive thoughts and repetitive behaviors,OCD is typically managed with selective serotonin reuptake inhibitors(SSRIs)and cognitive-behavioral therapy,particularly exposure and response prevention.However,~25%to 40%of patients do not respond adequately to these firstline treatments,and many who do respond continue to experience residual symptoms[2].
文摘Objective To assess the frailty status of patients with heart failure undergoing CRT-D and then explore the predictive value of frailty for all-cause mortality and heart failure-related readmissions in these patients.Methods We retrospectively included 374 patients with chronic heart failure who underwent CRT-D treatment at the First Affiliated Hospitalof Xinjiang NMedical University between June 2020 and June 2024.Based on the Tilburg Debilitation Assessment Scale,175 patients(46.8%)were classified as frail while 199(53.2%)were classified as non-frail.The baseline data between the two groups was compared using Cox regression analysis and Kaplan-Meier curveswere used for survival analysis.P-values of<0.05 indicated statistically significant differences.Results A total of 374 patients aged 25-93(68±11)years were enrolled in this study,101(27.0%)of whom were female.Among these,175(46.8%)were categorized as frail,and 199(53.2%)were classified as non-frail.Over a median follow-up time of 23(5,45)months,35(9.4%)patients experienced all-cause mortality,with 30(17.1%)deaths occurring in the frail group and 5(2.5%)in the non-frail group;meanwhile,readmission events due to heart failure occurred in a total of 174(46.5%)patients,including 122(70.1%)in the frail group,and 52(29.9%)in the non-frail group.Cox analysis showed that frailty was a significant determinant of all-cause mortality(HR=21.25,95%CI 3.99-113.30,P<0.001)and readmission among heart failure patients receiving CRT-D(HR=2.52,95%CI 1.73-3.68,P<0.001).Log-rank tests showed that the survival rate of patients in the frail group was significantly lower than that of patients in the non-frail group(HR=7.22,95%CI 2.80-18.60,P<0.001)and the risk of readmission events due to heart failure was significantly higher among patients in the frail group than among those in the non-frail group(HR=2.75,95%CI 1.98-3.81,P<0.001).Conclusion Frailty is an independent predictor of postoperative all-cause mortality and the occurrenceof heart failure-related readmissions in patients with heart failure receiving CRT-D.
