综合老年医疗评估作为在三级医疗医院注册或更新DNR代码的重要工具
Veerle Mertens1, Charlotte Cottignie2, Mick van de Wiel2
1Department of Geriatrics, Antwerp University Hospital, Drie Eikenstraat 655, 2650, Edegem, Antwerp, Belgium. veerle.mertens@uza.be.
在综合老年评估 (CGA) 后,老年患者的不复苏 (DNR) 代码注册显著增加. 这项研究强调了CGA对老年人终身护理决策的影响.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健政策 医疗保健政策
背景情况:
- 住院的老年患者往往有复杂的健康需求.
- 预先的护理规划,包括不复苏 (DNR) 命令,对这一群体至关重要.
- 综合老年病学评估 (CGA) 对DNR注册的影响需要进一步调查.
研究的目的:
- 确定安特卫普大学医院老年患者中DNR代码注册的流行率.
- 评估CGA对这些患者DNR代码注册的影响.
- 分析与老年住院患者的DNR注册相关的因素.
主要方法:
- 在2018-2020年期间入院的543名老年患者 (平均年龄为82.4岁) 的回顾性分析.
- 在住院期间,在CGA之前和之后评估DNR状态.
- 与年龄,虚弱 (CFS),认知状态和ICU入院的关联分析.
主要成果:
- 在入院时,66.3%的患者有DNR代码;在CGA后,这一数字增加到85.3%.
- 拥有DNR码的患者年龄较大,身体较脆弱.
- 在COVID-19大流行之前和期间,DNR登记率没有显著差异.
结论:
- 综合老年诊断评估显著增加了住院老年患者的DNR注册.
- 对于老年人来说,CGA促进了重要的生命结束讨论和决策.
- 该研究强调了系统评估在事先护理规划中的重要性.
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