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基于远程医疗的风险计划,以预防老年人的跌倒:随机质量改善试验的协议

David B Rein¹, Madeleine E Hackney^2,3,4,5, Yara K Haddad⁶

¹Department of Public Health, NORC at the University of Chicago, Atlanta, GA, United States.

JMIR research protocols

|February 12, 2024

概括

这项研究评估了远程医疗对老年人的跌倒风险评估. 结果将告知这种方法在预防跌倒和降低医疗保健成本方面的有效性和成本效益.

科学领域:

老年学是指老年学的学科.
公共卫生公共卫生
医疗保健服务研究医疗服务研究

背景情况:

美国疾病预防控制中心 (CDC) 的 STEADI 倡议为防摔风险查和干预提供了资源.
STEADI的有效性以前没有在随机试验中进行评估.

研究的目的:

描述 STEADI 选项随机化质量改进试验 (RQIT) 的协议.
评估基于远程医疗的STEADI干预对老年人 (65岁以上) 跌倒率和医疗保健支出的影响.

主要方法:

一个实用的随机化质量改进试验,将远程医疗Steadi与标准护理 (SOC) 进行比较.
患者被随机分配到STEADI手臂或SOC手臂.
跌倒风险是使用Stay Independent选器 (SIS) 来评估的.
在 STEADI 组中,有风险的患者接受了一名注册护士的远程医疗评估.

主要成果:

该研究在2020年9月至2021年12月期间招募了720名患者.
数据分析已经完成,预计结果将在2025年底发布.
后续数据收集于2023年1月结束.

结论:

建立了Steadi RQIT协议,用于评估远程医疗的跌倒风险干预.
这项研究旨在深入了解老年人基于远程医疗的跌倒预防策略的有效性和成本效益.

关键词:

老化的老化衰老的老化经济效益性经济效益性年长的老人老年人老年人.跌倒的风险跌倒的风险跌倒风险查跌倒风险查布布布的情况是:药物管理药物管理年龄较大的成年人.物理治疗疗法物理治疗预防预防预防公共卫生公共卫生.远程医疗远程医疗

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