老年人中非医疗问题访问急诊室的低敏度条件:一个前性的多中心队列研究
Katherine Tanguay1,2, Alexandra Nadeau2,3, Audrey-Anne Brousseau4
1Département de médecine familiale et de médecine d'urgence, Faculté de médecine, Université Laval, Québec, QC, Canada.
Heliyon
|August 22, 2024
概括
对于老年人来说,非医疗问题是常见的,他们因低敏度问题访问急诊室. 识别这些需求,如流动性和孤独感,对于综合护理规划至关重要.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 在老年人中出现的非医疗问题 (NMP),为低敏度的疾病向急诊室 (ED) 提交,研究不足.
- 了解NMP预测因素可以促进早期识别和关怀整合这个脆弱的人群.
研究的目的:
- 确定患病率和识别老年人中非医疗问题 (NMP) 的预测因子,这些老年人因低敏度的病情而前往急诊室 (ED).
主要方法:
- 从2021年5月到8月,在八个ED进行了前性队列研究.
- 纳入了65岁及以上的认知完整的成年人,他们的分类敏度低 (CTAS 3-5).
- 一个调查问卷评估了11个NMP,并通过多重后勤回归确定了预测因素.
主要成果:
- 在1061名参与者中,70.4%的人报告至少有一次NMP.
- 观察到流动性问题 (41.1%在户外,30.2%在室内),难以获得牙科护理 (35.1%) 和孤独 (29.5%) 的高患病率.
- 关键预测因素包括晚年,独自生活,先前存在的心理健康状况,心力衰竭,最近住院,记忆力下降,缺乏家庭医生,以及因跌倒或功能下降的访问.
结论:
- 在ED环境中,老年人中非常普遍存在非医疗问题.
- 需要整体的ED流程来将这些非医疗问题的评估和管理纳入患者护理计划.
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