Exploring anxiety in elderly pulmonary tuberculosis inpatients using propensity score matching method

• Published in: BMC pulmonary medicine 2024-11, Vol.24 (1), p.576-6, Article 576
• Main Authors: Feng, Yinping, Guo, Jing, Luo, Shuirong, Zhang, Zunjing
• Format: Article
• Language: English
• Subjects: Age; Aged; Aged patients; Aged, 80 and over; Alcohol; Anxiety; Anxiety - epidemiology; Anxiety - psychology; Care and treatment; China - epidemiology; Chronic illnesses; Chronic obstructive pulmonary disease; Comorbidity; Complications and side effects; Diabetes; Diagnosis; Elderly age; Evaluation; Female; Gender; Generalized anxiety disorder; Hospitalization; Hospitalization - statistics & numerical data; Humans; Inclusion; Influencing factors; Inpatients - psychology; Living arrangements; Logistic Models; Male; Mental depression; Mental disorders; Mental health; Older people; Patients; Propensity Score; Propensity score matching; Propensity scores; Psychological aspects; Pulmonary tuberculosis; Quality of life; Regression analysis; Retrospective Studies; Risk Factors; Sleep disorders; Social interaction; Statistical analysis; Traditional Chinese medicine; Tuberculosis; Tuberculosis, Pulmonary - psychology; Variables
• ISSN: 1471-2466; 1471-2466
• DOI: 10.1186/s12890-024-03390-2

The objective of this study is to explore the factors that influence anxiety in elderly hospitalized pulmonary tuberculosis patients using propensity score matching (PSM) methods. We retrospectively analyzed the clinical data of elderly patients with pulmonary tuberculosis admitted to the tuberculosis Department of Lishui Hospital of Traditional Chinese Medicine from January 2021 to October 2023. The patients were then divided into anxiety and non-anxiety groups based on their GAD-7 scores. Propensity score matching was used to match the baseline data of the two groups, followed by multivariate logistic regression analysis to identify the influencing factors of anxiety in elderly hospitalized pulmonary tuberculosis patients. The study included 795 elderly hospitalized patients with pulmonary tuberculosis, with 599 classified as carefree and 196 as anxious (32.72%). Using the propensity score matching method, we successfully matched 185 pairs of patients. After matching, there were no statistically significant differences in gender, age, occupation, or other aspects between the two groups of patients (all P > 0.05). Multivariate logistic regression analysis revealed that chronic comorbidities (OR = 2.36, 95% CI: 1.54-3.61), lack of daily social interaction (OR = 1.79, 95% CI: 1.15-2.76), tuberculosis recurrence (OR = 2.08, 95% CI: 1.35-3.21), and lack of daily behavioral ability (OR = 1.99, 95% CI: 1.23-3.23) were influencing factors for anxiety in elderly hospitalized pulmonary tuberculosis patients (P