在历史上被边缘化的养老院居民中,潜在的可避免住院情况
Leah V Estrada1, Veronica Barcelona2, Lara Dhingra3,4
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
JAMA network open
|May 2, 2024
概括
潜在可避免的住院治疗 (PAHs) 在历史上被边缘化的养老院居民中更为常见,特别是那些严重认知障碍的人. 改善对这些弱势群体的养老院护理可能会减少住院转移和认知衰退.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 养老院 (NH) 转移到医院是频繁的,并与认知衰退有关.
- 大约45%的NH医院转移是可能可以避免的住院治疗 (PAHs).
研究的目的:
- 为了确定与非西班牙裔白人居民相比,具有严重认知障碍的历史边缘化NH居民的PAH发生率.
主要方法:
- 使用2018年医疗补助和医疗保险服务中心和LTCFocus数据集进行横截面研究.
- 包括65岁以上的住院住院的美国NH居民;2022年1月至5月进行的分析.
- 按种族/种族和认知障碍状态估计的PAH发病率,控制共变量.
主要成果:
- 历史上被边缘化的NH居民,特别是严重认知障碍者,与非西班牙裔白人居民相比,PAH发病率更高.
- 美国印第安人/阿拉斯加原住民,黑人/非洲裔美国人和西班牙裔居民的严重认知障碍显示出明显更高的未调整的PAH发生率.
- 经过调整后的分析证实,亚洲,黑人/非裔美国人和西班牙裔居民严重认知障碍的PAH发病率增加.
结论:
- 历史上被边缘化的NH居民面临更高的PAH率,严重的认知障碍加剧了这种差异.
- 识别严重认知障碍的居民并确保适当的NH护理对于预防PAH和随后的认知衰退至关重要.
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