[在急诊室治疗摔倒的老年患者的预后:EDEN-3研究]
P Llorens1, A Guillén Bobe2, P Gallardo Vizcaíno3
1Unidad de Estancia Corta y Hospitalización a Domicilio, Servicio de Urgencias, Hospital Doctor Balmis de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Universidad Miguel Hernández, Alicante, España; En representación de la red SIESTA.
Journal of healthcare quality research
|November 1, 2023
概括
患有摔倒的老年人到急诊室,预后比患有其他疾病的人更好. 跌倒的急诊室访问与较低的死亡率和不良事件有关,住院作为保护因素.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 在老年人中,跌倒是急诊室访问的常见原因.
- 了解跌倒与其他急性疾病的预后影响对于老年护理至关重要.
研究的目的:
- 为了确定65岁及以上的个人是否因跌倒而访问急诊室,与其他咨询原因相比,预后更好.
- 为了确定影响老年患者的长期结果的因素,这些老年患者因跌倒而出现在急诊室.
主要方法:
- 对EDEN队列的分析,将65岁以上的患者进行比较,这些患者因跌倒而出现,与那些出于其他原因出现的患者进行比较.
- 使用倾向性得分匹配来创建可比较的组.
- 评估了一年死亡率和离院后的综合不良事件.
主要成果:
- 与其他原因 (n=22,920) 相比,患有摔倒的患者 (n=2,745) 的一年死亡率 (9.5%) 和不良事件 (52.2%) 较低.
- 倾向性得分匹配 (n=4,748) 证实,秋季咨询与死亡率 (HR:0.705) 和不良事件 (HR:0.758) 相反相关.
- 与跌倒患者的较差结果相关的因素包括晚年 (≥80) 和并发症;女性性别是保护性的.
结论:
- 在老年人中,因摔倒而访问急诊室与更好的长期预后有关.
- 在指数事件期间住院治疗被确定为对联合出院后不良事件的保护因素.
相关概念视频
01:30Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
01:27Pulmonary Embolism III: Nursing Management
15
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
15
01:28Chronic Kidney Disease III: Interprofessional Care
13
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
13
01:29Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10