老年肺部感染患者发生中重度日常生活能力受损的危险因素分析

目的探讨老年肺部感染患者发生日常生活能力(ADL)中重度受损的危险因素。方法收集我院老年病区肺部感染患者186例,根据ADL受损情况,分为对照组(ADL正常或轻度受损)及ADL中重度受损组。比较两组患者的年龄、既往病史、血清学指标、痰培养结果及预后情况。应用logistic回归分析老年肺部感染患者发生ADL中重度受损的危险因素。结果ADL正常28例,轻度受损99例,中度受损37例,重度受损22例,ADL受损率84.9%(158/186)。与对照组相比,ADL中重度受损组患者年龄较高,患有冠心病、脑梗死后遗症的比例较高,合并贫血、血清Pro-BNP升高的比例较高,降钙素原升高的比例较高(P均<0.05)。logistic回归分析显示,年龄>83.2岁、伴有脑梗死后遗症是老年肺部感染患者发生ADL受损的危险因素(P均=0.001)。结论高龄、伴有脑梗死后遗症是老年肺部感染患者发生ADL受损的危险因素。

Analysis of risk factors for moderate to severe impairment of activities of daily living in elderly patients with pulmonary infection

Objective To explore the risk factors of moderate to severe impairment of activity of daily living(ADL)in elderly patients with pulmonary infection.Methods A collection of 186 patients with pulmonary infections in the el?derly ward of our hospital were divided into control group(normal or mildly damaged ADL)and moderate to severely dam?aged ADL groups,according to their ADL damage.The past medical history,serological indicators,sputum culture re?sults and prognosis of the two groups of patients were statistically analyzed.Logistic regression was used to analyze the risk factors of moderate to severe damage to ADL in elderly patients with pulmonary infection.Results There were 28 cases of normal ADL,99 cases of mild damage,37 cases of moderate damage,and 22 cases of severe damage.The ADL damage rate was 84.9%(158/186).Compared with the control group,patients in the ADL moderately severely damaged group are older,have a higher proportion of coronary heart disease and sequelae of cerebral infarction,have a higher proportion of combined anemia,elevated serum Pro-BNP,the proportion of procalcitonin increased is higher(all P<0.05).Logistic re?gression analysis showed that age>83.2 years old,with sequelae of cerebral infarction was a risk factor for ADL damage in elderly patients with pulmonary infection(all P=0.001).Conclusion Advanced age,with sequelae of cerebral infarc?tion is a risk factor for ADL damage in elderly patients with pulmonary infection.