在医院住院的年轻人中的脆弱性
E H Gordon1, N M Peel1, R E Hubbard1
1From the Centre for Health Services Research, The University of Queensland, Brisbane, Australia.
QJM : monthly journal of the Association of Physicians
|July 19, 2023
概括
年轻的住院成年人经历虚弱,影响住院时间长度. 这项研究强调了年轻住院患者的脆弱性及其与不良结果的关联,敦促进一步了解.
科学领域:
- 老年学和老年医学是老年学和老年医学.
- 急性护理医学急性护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在老年急性护理患者中,脆弱性得到了充分证实,但在年轻人中却没有得到充分的研究.
- 了解年轻住院人口的脆弱性对于综合护理至关重要.
研究的目的:
- 为了测量18岁及以上的住院成年人的脆弱性.
- 为了比较年轻,中年和老年成人住院患者之间的脆弱程度和特征.
- 检查年轻成年人的虚弱与停留时间和出院目的地的关联.
主要方法:
- 对来自澳大利亚四家医院的910名患者前性收集的队列数据的二次分析.
- 虚弱指数 (FI) 评分和领域使用interRAI急症监护仪器进行评估.
- 跨年龄组 (18-49岁,50-69岁,≥70岁) 的FI和结果的多变量逻辑回归的比较.
主要成果:
- 年轻的成年人 (23.5%) 的平均FI为0.19,27%的人被确定为脆弱 (FI>0.25).
- 年轻人常常受到影响的脆弱领域包括情绪/行为,健康症状,营养和疼痛;50%的患者有≥3种并发症.
- 在年轻的成年人中,脆弱性显著增加了长时间停留的风险 (OR=1.77,P<0.001),但不是不利的出院 (OR=1.40,P=0.20).
结论:
- 在接受急性护理的年轻患者中,脆弱性很普遍.
- 年轻的住院成年人的虚弱与不良结果有关,特别是长时间住院.
- 这项研究提供了对年轻住院成人的脆弱性的基本理解,需要进一步调查.
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