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在外科住院患者的环境中使用 GeriNOT
Birgit Feindt1, Andreas Roth2, Christoph-Eckhard Heyde3
1Zentrales Patientenmanagement, Universitätsklinikum Leipzig, Leipzig, Deutschland.
Zeitschrift fur Orthopadie und Unfallchirurgie
|October 10, 2024
概括
整合到医院信息系统中的GeriNOT老年查工具有效地识别了各种诊断,包括骨折和脊髓疾病的风险老年患者. 使用GeriNOT早期识别风险可以改善患者的治疗结果,并指导急性后护理计划.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 德国联邦联合委员会 (G-BA) 要求为关节骨折患者提供经过验证的老年人查工具.
- 将GeriNOT工具集成到医院信息系统 (KIS) 中,可以在急性入院期间收集过程生成的数据.
- 这项研究调查了GeriNOT是否可以在骨骨折之外的其他老年诊断组中识别风险.
研究的目的:
- 评估GeriNOT工具的预测能力和分类准确性,用于识别70岁及以上患者的老年风险.
- 评估该工具在不同诊断群体的有效性,包括整体急性入院,骨折,关节骨折和脊柱状况.
- 确定使用GeriNOT的早期风险识别是否可以预测急性后护理的需要和新入院的长期护理设施.
主要方法:
- 从2014年5月到2015年4月 (n=3443) 的电子健康记录进行了回顾性,双中心分析.
- 专注于急性骨科/创伤住院的一小组 (n=821) 以分析与急性后护理利用率和长期护理安置相关的结果.
- 在各种诊断组中,GeriNOT预测和分类准确性被评估为定义的终点.
主要成果:
- 所有分析的诊断组 (整体入院,骨折,关节骨折,脊柱状况) 均显示GeriNOT平均得分高于值 (≥4).
- 关节骨折组的GeriNOT平均得分最高 (4.85),而脊柱骨折的得分最低 (4.18).
- 尽管确定了风险,但只有4.26%的风险患者接受了急性老年护理;然而,GeriNOT检测到急性后护理需求的风险增加,特别是在关节骨折组 (31.48%的护理入院).
结论:
- 当GeriNOT工具集成到急性入院管理的KIS中时,它可以系统地识别不同患者群体的老年风险,特别是脊柱疾病.
- 该研究强调了所有分析组的显著老年风险,强调了早期干预的必要性.
- 由KIS支持的GeriNOT实施可以作为风险调整治疗途径的基础,可能改善患者的治疗结果.
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