老年和非老年急诊室之间的结果比较
Cameron J Gettel1, Ula Hwang2, Alexander T Janke3
1Department of Emergency Medicine, Yale School of Medicine, New Haven, CT; Center for Outcomes Research and Evaluation, Yale School of Medicine, New Haven, CT.
Annals of emergency medicine
|June 30, 2023
概括
老年急诊室 (EDs) 的诊断率较高,常见的疾病和较短的逗留时间比非老年急诊室更高. 复诊和出院率相似,为老年急诊护理建立了新的基准.
科学领域:
- 老年急救医学的医学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 老年急诊室 (GED) 是专门的单位,旨在满足老年人的独特需求.
- 现有的数据比较GED和传统的非老年急诊室 (ED) 的结果是有限的.
- 美国紧急医生学院临床紧急数据注册 (CEDR) 为此类比较提供了有价值的数据集.
研究的目的:
- 为了比较GED和匹配的非老年ED之间的常见老年综合征的诊断率.
- 为了比较关键的过程结果,包括ED停留时间长度,排放率和72小时再访率,在GED和非老年ED之间.
- 在GED中建立紧急护理过程结果的初始基准.
主要方法:
- 一项利用CEDR的2021年日历年数据进行的观察性研究.
- 包括38个认可的GED和152个匹配的非老年人ED的老年人进行的6444110次ED访问.
- 评估了四种老年综合征的诊断率和按年龄分层的过程结果.
主要成果:
- 与非老年人ED相比,GED显示尿路感染,痴呆症和痴呆症/精神状态改变的诊断率更高.
- 在GEDs中,ED逗留时间的中位数较短.
- 退院率和72小时再诊率在各年龄组的GED和非老年ED之间是可比的.
结论:
- 对于关键的老年综合征,GED实现了更高的诊断率,并提供了更有效的护理,以较短的逗留时间为证据.
- 这些发现为评估GED的绩效建立了重要的基准.
- 这些结果强调了专门的老年急诊护理在改善老年人的结果方面的价值.
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