预先医院临床医生对老年人不当待遇的文件:对国家紧急医疗服务信息系统数据库的分析
David W Hancock1, William Haussner2, E-Shien Iggy Chang3
1Department of Emergency Medicine, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York.
医院前的临床医生记录了老年人虐待 (EM) 仅在0.02%的遭遇中,尽管其患病率很高. 加强培训和协议对于改善这些前线专业人员对老年人的虐待和忽视的检测和报告至关重要.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 紧急医疗 紧急医疗
背景情况:
- 老年人虐待 (EM) 是影响老年人的重大公共卫生问题,在机构环境中更为普遍.
- 医院前临床医生 (PHC) 处于独特的位置,可以在家庭应急响应期间识别和报告EM.
- 现有的PHC对EM检测的数据有限,需要进一步调查.
研究的目的:
- 确定PHC记录的老年人虐待 (EM) 的比例和特征.
- 使用国家紧急医疗服务信息系统 (NEMSIS) 数据库分析EM文档.
- 确定EM报告的模式,包括滥用类型和患者人口统计数据.
主要方法:
- 对2018年NEMSIS数据的分析,包括超过2200万次紧急响应激活.
- 使用特定的国际疾病分类 (ICD) 代码识别EM病例.
- 检查人口统计数据,损伤位置和与记录的EM相关的物理发现.
主要成果:
- 在9,605,522例60岁及以上患者 (0.02%) 中,有1,765例记录了老年人虐待 (EM).
- 身体虐待是最常见的报告类型 (20.8%),其次是性虐待 (18.2%) 和忽视 (9.7%).
- 记录EM患者的平均年龄为72岁,其中62.3%是女性,受伤通常发生在下肢,头部和上肢.
结论:
- 医疗保健中心很少记录老年人虐待 (EM),尽管其流行程度很高.
- 迫切需要加强培训和全面的协议,以改善医疗健康中心的EM识别和报告.
- 通过教育和协议开发来赋予医疗保健中心权力,对于改善对老年人虐待,特别是忽视的检测和干预至关重要.
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