养老院居民死亡风险:一个跨国视角
John N Morris1, Elizabeth P Howard2, Erez Schachter3
1Hebrew SeniorLife, The Hinda and Arthur Marcus Institute for Aging Research, Boston, MA, USA.
Journal of the American Medical Directors Association
|July 10, 2024
概括
一个新的尺度,DeathRisk-NH,有效地预测了在12个月内养老院居民的死亡. 该工具通过识别高风险个体,有助于护理规划和资源分配.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 生物统计学 生物统计学
背景情况:
- 养老院居民面临着严重的死亡风险.
- 现有的工具,如健康变化,末期疾病,症状和体征 (CHESS) 尺度,需要提高精确的风险预测.
- 准确的死亡率预测对于有效的患者护理和长期护理机构的资源管理至关重要.
研究的目的:
- 描述四个连续季度养老院居民的死亡率.
- 为养老院居民制定最佳的死亡风险分类.
- 通过开发DeathRisk-NH尺度来扩展现有的CHESS尺度.
主要方法:
- 来自加拿大和美国养老院的最小数据集 (MDS) 数据的二次分析.
- 基于CHESS尺度的DeathRisk-NH尺度的开发,使用后勤回归来识别死亡预测因素.
- 包括MDS项目,重点关注临床复杂性,诊断条件和严重的临床困难.
主要成果:
- 死亡的养老院居民的百分比从3个月后的10.5%增加到12个月后的30.7%.
- 研究队列的平均年死亡率是全国平均水平的5.5倍.
- 在加拿大和美国队伍中观察到类似的居民特征 (ADL等级,流动性,禁欲,记忆力,CHESS分数).
结论:
- 死亡风险-NH尺度是预测养老院居民在入院第一年内死亡率的有效模型.
- 这种工具可以显著帮助患者护理规划和养老院资源分配.
- 死亡风险-NH尺度对于监测长期护理人口中过度死亡是有价值的.
相关概念视频
01:28Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K
01:27Ethical Issues
898
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
898
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:29Documentation in Long-Term and Home Healthcare Setting
878
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
878
01:27Nursing Ethical Principles II
948
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
948
01:26Factors Affecting the Risk of Infection
11.6K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.6K