[在建立5年后对一个骨干老年病房的评估]
Martial Coutaz1, Arnaud Jaques1, Davide Moro1
1Service de gériatrie du Valais romand, Hôpital du Valais, 1920 Martigny.
Revue medicale suisse
|November 1, 2023
概括
70岁以上的关节骨折患者的整形老年人护理降低了死亡风险. 并发症,严重营养不良和患者因素显著增加了死亡率,尽管平均手术延迟35小时.
科学领域:
- 老年病的医生 老年病的医生
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 部骨折是老年患者的一个重大健康问题.
- 整形老年护理模式旨在改善这一群体的治疗结果.
- 手术后的早期老年病管理对于减少并发症至关重要.
研究的目的:
- 为了评估一个骨架老年病房对关节骨折患者结果的影响.
- 评估标准化的老年病治疗方案对死亡率和并发症的影响.
- 为了确定老年关节骨折患者死亡的风险因素.
主要方法:
- 为70岁及以上的患有部骨折的患者建立一个骨质老年病房.
- 在手术后24小时内实施老年病管理.
- 对607名患者的6周死亡率,手术延迟和并发症率的分析.
主要成果:
- 总体死亡率为6.75%,平均手术延迟35小时没有显著影响.
- 显著增加死亡率的因素包括晚年,男性性别,依赖,认知障碍和营养不良.
- 经历任何并发症的死亡率增加了4.79倍,心脏并发症增加了3.92倍,严重营养不良增加了4.95倍.
结论:
- 整形老年人护理对于管理部骨折患者至关重要.
- 可以有效地实施标准化的老年病治疗方案.
- 识别和管理营养不良和并发症等风险因素对于降低关节骨折患者的死亡率至关重要.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
6.8K
07:27Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
10.3K
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
897
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
897
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K
Restorative Care
2.0K
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,...
2.0K
Specialized Care Centers and Settings-II
734
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...
734
Standards of Care II
658
Nurses bear specific legal responsibilities under several federal statutes, including:
658
