养老院居民的转移创伤:开发一种复合措施
Ana Montoya1,2, Pil Park1, Julie Bynum1,2
1Division of Geriatric and Palliative Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
The Gerontologist
|July 1, 2023
概括
养老院转移带来了一些风险. 虽然传输创伤在疫情期间减少,但居民面临更高的死亡率和出院率,这表明需要改善护理.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 养老院 (NH) 到NH的转移与住户的转移创伤有关.
- 开发一种综合测量转移创伤的方法对于评估这种风险至关重要.
- COVID-19 流行病可能影响了转移创伤率和结果.
研究的目的:
- 开发一种用于NH居民转移创伤的复合措施.
- 将这一措施应用于大流行前和期间转移的居民.
- 为了比较这些时期之间的转移创伤率和相关结果.
主要方法:
- 使用2018-2020年最低数据集 (MDS) 数据进行横截面队列分析.
- 使用2018年队列的复合转移创伤测量措施的开发.
- 后勤回归分析以比较2019年和2020年队列之间的结果.
主要成果:
- 2018年,30.5%的搬迁居民经历过搬迁创伤.
- 转移创伤率为30.7% (2019年) 和21.9% (2020年).
- 在大流行期间 (2020年),与2019年相比,居民的转移创伤 (AOR=0.64) 较低,但死亡率 (AOR=1.94) 和出院率 (AOR=2.86) 较高.
结论:
- 转移创伤是NH转移到NH转移后的一个常见问题.
- 疫情改变了转移结果,减少创伤,但增加了死亡率和出院率.
- 需要进一步的研究,以减轻这种脆弱的NH人群的负面结果.
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