在Lewy体痴呆症中生命终端医疗保健利用
Golnoosh Alipour-Haris1, Melissa J Armstrong2,3, Amie J Goodin1
1Center of Drug Evaluation & Safety and Department of Pharmaceutical Outcomes & Policy, University of Florida College of Pharmacy, Gainesville, FL, USA.
Journal of Alzheimer's disease : JAD
|August 9, 2024
概括
在生命的最后一年里,Lewy体痴呆症 (LBD) 护理涉及频繁的医疗保健使用,基于种族的差异. 加强护理连续性可以减少LBD患者的医院和急诊室的访问.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 莱维体痴呆症 (LBD) 是美国普遍存在的一种神经退行性疾病.
- 临终关怀在临终关怀方面面临着独特的挑战.
- 了解LBD的医疗保健利用对于改善患者的治疗结果至关重要.
研究的目的:
- 为了检查患有莱维体痴呆症 (LBD) 的人在生命的最后一年的医疗保健利用模式.
- 评估护理连续性对LBD患者医疗保健利用的影响.
- 确定影响LBD生命终端护理的人口因素.
主要方法:
- 对连续注册LBD患者的2011-2018年医疗保险索赔数据的分析.
- 评估住院,急诊室 (ED) 访问,重症监护室 (ICU) 住院和延长生命的程序.
- 在生命的最后一年中评估药物使用和护理连续性的指标.
主要成果:
- 分析了45,762名LBD死者的队列,主要是老年白人女性.
- 更高的年龄与更少的ICU住院和延长生命的手术有关.
- 与白人患者相比,黑人和西班牙裔患者的医疗保健利用率和住院死亡率更高.
- 改善护理连续性与医院访问,急救诊所访问和延长生命的手术显著减少有关.
结论:
- 患有LBD的人在最后一年经历复杂的医疗保健需求,受年龄和种族的影响.
- 护理连续性成为缓解密集医疗利用的重要因素.
- 调查结果强调,需要为LBD患者提供公平和协调的终身护理策略.
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