紧急医疗服务的营养风险查:与医院内评估的协议
Eeva Saario1, Marja Mäkinen2, Esa Jämsen3
1Department of Emergency Medicine and Services, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; Prehospital Emergency Medical Services, Satakunta Wellbeing Services County, Pori, Finland.
International emergency nursing
|December 2, 2024
概括
紧急医疗服务 (EMS) 对老年人营养风险的查显示了与医院评估的中度一致. 通过EMS的早期识别可以标记需要进一步营养评估的患者.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 紧急医疗服务 紧急医疗服务
背景情况:
- 早期识别营养风险对于预防营养不良并发症至关重要.
- 营养风险查在医院环境中经常被忽视.
- 医院前查可能为早期干预提供了宝贵的机会.
研究的目的:
- 评估由紧急医疗服务 (EMS) 进行的营养风险查与在医院病房进行的随后查之间的一致性.
- 评估在老年人群中医院前营养风险评估的有用性.
主要方法:
- 2002年营养风险查 (NRS-2002) 工具被EMS用于70岁及以上的社区住院患者.
- 患者被运送到芬兰一家医院的急诊室.
- 从EMS获得的NRS-2002结果与住院期间获得的结果进行了比较.
主要成果:
- 在EMS对472名患者进行了查,发现17%的患者存在营养风险.
- 在69%的病例中,EMS和医院病房之间就营养风险状况达成协议.
- 与医院病房评估相比,EMS倾向于分配较低的营养风险得分,其中32%的得分相同.
结论:
- 通过EMS进行的医院前营养风险查表明,有可能识别需要进一步营养评估的老年人.
- 这种医院前查可以促进早期干预和管理脆弱人群的营养状况.
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