在急诊部进行脆弱性查的核心要求:国际德尔菲共识研究
Elizabeth Moloney1, Mark R O'Donovan1, Christopher R Carpenter2
1HRB Clinical Research Facility, Mercy University Hospital, University College Cork, Cork City, T12 WE28, Ireland.
Age and ageing
|February 18, 2024
概括
应急部门的脆弱性查应该是快速的,多维的,并评估功能能力,移动性,认知,药物和社会因素. 需要进一步的研究,以在临床实践中实施这些理想的脆弱查要求.
科学领域:
- 老年学是指老年学的学科.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 虚弱与急诊室 (ED) 患者的负面结果有关.
- 现有的ED脆弱性选工具在选择变量和实施速度方面存在局限性.
- 需要确定有效的ED脆弱性查的核心要求.
研究的目的:
- 建立关于紧急部门脆弱性查的基本组成部分和实际考虑的共识.
- 确定关键变量,将其纳入一个准确和高效的ED脆弱性查工具.
主要方法:
- 进行了一项国际,修改,两轮的电子Delphi共识研究,其中来自10个国家的37名参与者.
- 声明是从ED中对脆弱选仪器的系统审查中得出的.
- 反思性主题分析确定了四个关键主题:选原则,物流,脆弱领域和风险因素.
主要成果:
- 在理想的脆弱性查特征上达成共识:短时间 (<5分钟),多维度,校准和反映基线状态.
- 理想的查应该是常规的,及时的 (抵达后4小时),并在第一次接触时进行.
- 确定的关键变量包括功能能力,移动性,认知,药物使用和社会因素.
结论:
- 关于有效的ED脆弱性查和基本变量的要求存在共识.
- 需要进一步的研究,以将这些共识结果转化为在急诊室的虚弱查的实际临床应用.
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