老年人的评估可能会阻止脆弱的医疗住院患者的再接收
Astrid Heath1,2, Seham Shahla1, Sofie Ran Lindhardt Bossen1
1Medical Department, Randers Regional Hospital.
Danish medical journal
|June 21, 2023
概括
住院的脆弱老年人接受老年医学治疗的再入院率较低. 这种专业护理方法没有增加90天的死亡率,这表明对脆弱的患者结果有好处.
科学领域:
- 老年学是一门学科.
- 内部医学 内部医学
- 医疗保健管理的管理
背景情况:
- 虚弱是老年人群中普遍存在的疾病.
- 对于住院的老年医疗住院患者而言,有效的护理策略至关重要.
- 了解脆弱性对再接收和死亡率的影响至关重要.
研究的目的:
- 为了确定老年医疗住院患者的虚弱的发生.
- 研究脆弱性,护理环境,30天再入院和90天死亡率之间的关联.
主要方法:
- 一组75岁以上的医疗住院患者的队列使用多维预后指数评估了脆弱性.
- 患者按在急诊室 (ED),内科 (IM) 和老年医学 (GM) 获得的护理进行分类.
- 使用二进制和考克斯回归模型计算了相对风险和危险比率.
主要成果:
- 这项研究包括855名患者,其中61%患有中度虚弱,39%患有严重虚弱.
- 与ED和IM相比,老年医学 (GM) 显示了脆弱度的不同分布 (p < 0.001).
- 转基因患者的重度虚弱患者比例最高,但再接收率最低,与转基因患者相比,ED的调整相对风险为1.58,IM的调整相对风险为1.42.
结论:
- 脆弱的老年患者在各种医疗专业中得到管理.
- 接受老年医学治疗与降低再入院风险相关,但死亡率没有增加.
- 综合老年医学评估可能有助于老年医学中观察到的较低的再入院率.
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