开发一套最低临床数据集,用于使用修改后的Delphi技术进行手术前综合老年医学评估
Margot Lodge1,2,3, Rachel Aitken4, Yih Harng Chong5,6
1Alfred Health, Melbourne, Victoria, Australia.
Australasian journal on ageing
|May 16, 2024
概括
在澳大利亚和新西兰的专家共识下,开发了一种用于术前综合老年病评估 (CGA) 的新最低临床数据集 (MCDS). 这种标准化工具有助于优化老年人手术的结果.
科学领域:
- 老年医学 老年医学
- 在外科手术后的护理.
- 临床数据标准 临床数据标准
背景情况:
- 术前综合老年评估 (CGA) 对于优化老年人手术结果至关重要.
- 需要对CGA工具进行标准化,以便在澳大利亚和新西兰Aotearoa中得到一致的应用.
研究的目的:
- 构建一个标准化,共识引导的临床最低数据集 (MCDS) 进行手术前CGA.
- 建立对每个CGA域的推工具的共识.
主要方法:
- 文献审查以确定潜在的CGA领域和工具.
- 德尔菲研究涉及澳大利亚和新西兰老年医学学会的成员.
- 通过利克特尺度和二进制选择达成共识,需要至少75%的一致性.
主要成果:
- 在所有MCDS领域推的工具上达成共识.
- 包括的工具:临床脆弱度量,sMMSE/RUDAS/MoCA,4AT,定时升级,GDS-15,巴特尔指数和MUST.
- 在第1轮研究中,共有73名参与者,在第2轮研究中,共有47名参与者.
结论:
- 开发的MCDS为手术前CGA提供了一种标准化的方法.
- 建议临床医生使用MCDS来评估老年手术患者.
- 实施支持一个多学科的方法,以优化外科外科的结果.
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