影响住院老年患者 (≥90岁) 出院的因素:一项追溯的定量病例控制研究
Toru Takekawa1, Mako Katagi2, Kazushige Kobayashi3
1Chiba Prefectural University of Health Sciences, Chiba, 261-0014, Japan; Department of Rehabilitation Medicine, The Jikei University School of Medicine, Tokyo, 105-8461, Japan.
概括
预测老年患者 (≥90岁) 的出院目的地至关重要. 家庭出院更有可能发生在那些与他人生活在一起,并在入院时需要更少的饮食/移动援助的人身上.
科学领域:
- 老年学是一门学科.
- 老年医学 老年医学
- 临床结果 临床结果
背景情况:
- 最老的老年人群 (≥90岁) 面临着独特的医疗保健挑战.
- 排放目的地对这一人口群体的患者结果和医疗保健资源利用有重大影响.
研究的目的:
- 为了确定最老的患者出院目的地的预测因素.
- 根据临床管理策略来改善患者的治疗结果.
主要方法:
- 对90名最年长的老年患者 (≥90岁) 的医疗记录进行了回顾性分析.
- 收集的数据包括营养状况,日常生活活动 (ADL),护理需求程度 (NND) 和康复治疗.
- 排除标准:骨科住院患者和短期住院患者 (≤5天).
主要成果:
- 自家出院与与他人一起生活有关,并且在入院时需要最低限度的协助来吃饭和移动.
- 在入院时,基本运动能力量表 (ABMS) 的截止分数为18预测出院.
- 超过一半的患者表现出中度低的淋巴细胞总计数 (<1200/μL).
结论:
- 早期评估流动性和生活状况可以帮助预测最老的老年患者的出院目的地.
- 营养管理和早期动员是对这个年龄组的关怀的重要组成部分.
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