在COVID-19大流行期间,老年人医疗保健使用和死亡率的差异:探索长期护理用户的脆弱性
Isabel Aguilar-Palacio1,2,3, Lina Maldonado2,4, Sara Malo1,2,3
1Department of Preventive Medicine and Public Health, University of Zaragoza, Zaragoza, Spain.
Heliyon
|August 16, 2024
概括
患有COVID-19的长期护理 (LTC) 设施中的老年人接受了不同的医疗保健,影响了死亡率. 在LTC和卫生服务之间的合作对于老年COVID-19患者的公平护理至关重要.
科学领域:
- 老年学是指老年学的学科.
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19对老年人产生了重大影响.
- 医疗保健提供和结果根据居住地 (长期护理机构与社区) 不同.
- 了解这些差异对于改善护理至关重要.
研究的目的:
- 根据他们的居住地,分析COVID-19的老年人获得的医疗保健.
- 确定医疗保健对该人口死亡率的影响.
- 确定与医疗保健利用有关的死亡率预测因素.
主要方法:
- 在西班牙阿拉贡进行的回顾性队列研究 (2020年3月至2021年3月).
- 包括65岁以上的确诊COVID-19的患者,按LTC居住地分类.
- 使用倾向得分匹配和调整的多变量模型来分析医疗保健和死亡率.
主要成果:
- 在LTC居民和非居民之间,医疗保健的使用率差异很大.
- LTC患者的诊断时间较短,但入院时间较长.
- 调整后的模型显示了住院时间,ICU入院风险和30天死亡率的显著差异.
结论:
- 根据居住地,老年人的COVID-19医疗保健存在显著差异.
- 长期护理专业人员和卫生服务之间的加强合作是必不可少的.
- 对于COVID-19的住院老年患者,需要提供公平的医疗保健.
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