估计老年院住户患有晚期痴呆症的预后
Susan L Mitchell1, Dan K Kiely, Mary Beth Hamel
1Hebrew Rehabilitation Center for Aged Research and Training Institute, the Harvard Medical School, Boston, Mass 02131, USA. smitchell@mail.hrca.harvard.edu
JAMA
|June 10, 2004
概括
精确预测晚期痴呆症养老院居民的6个月死亡率至关重要. 使用最小数据集 (MDS) 变量的新风险评分显示了比现有工具更好的准确性.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 临床信息学 临床信息学
背景情况:
- 对于晚期痴呆症患者来说,缺乏准确的预后工具.
- 难以预测生存率限制了痴呆症患者住院的入院时间.
研究的目的:
- 确定预测高级痴呆症的养老院居民6个月死亡率的因素.
- 开发一个实际的风险评分来预测这个人群的6个月死亡率.
主要方法:
- 使用最小数据集 (MDS) 数据进行回顾性队列研究.
- 包括纽约和密歇根州高级痴呆症的养老院居民.
- 开发并验证了6个月死亡率的12个变量风险评分.
主要成果:
- 28.3% (导出) 和35.1% (验证) 的居民在6个月内死亡.
- 死亡率随着风险得分的提高而增加,从8.9%到70.0%不等.
- 开发的风险评分显示出比FAST尺度 (AUROC 0.51) 更好的预测准确度 (AUROC 0.74/0.70).
结论:
- 来自MDS数据的12个变量风险得分准确地预测了高级痴呆症养老院居民的6个月死亡率.
- 与目前的指南相比,这种风险评分提供了更好的预后能力.
相关概念视频
Restorative Care
2.3K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.3K
Specialized Care Centers and Settings-II
1.1K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.1K
Planning Nursing Care I
5.7K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
5.7K
Guidelines for Writing Outcome
3.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.8K
Documentation in Long-Term and Home Healthcare Setting
1.5K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.5K
Assumptions of Survival Analysis
492
Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.
492


