在老年急诊整体外科患者中,预测家出院的预测因素
Vahe S Panossian1, May Abiad1, Jefferson Proaño1
1Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
概括
预测老年急诊手术患者需要后急性护理的预测因素包括移动辅助器的使用,中风史,妄想症和急性损伤. 早期识别有助于为老年手术患者规划出院.
科学领域:
- 老年人手术是一门老年人手术.
- 医疗保健结果的结果
- 患者的情绪 患者的情绪
背景情况:
- 接受紧急整体手术 (EGS) 的老年患者往往有复杂的护理需求.
- 退院安排对患者的康复和医疗保健资源利用有重大影响.
- 识别影响出院目的地的因素对于有效的护理规划至关重要.
研究的目的:
- 在老年EGS患者中确定释放到急性后护理 (PAC) 的预测因素.
- 为这些弱势群体提供临床决策信息,并改进对这些弱势群体的出院规划.
主要方法:
- 对65岁及以上从家住院的EGS患者进行了回顾性研究.
- 排除非幸存者和从其他医疗机构入院的患者.
- 分析与排放到PAC与家相关的因素.
主要成果:
- 在577名老年EGS患者中,有36.9%的患者被送往PAC.
- 预测PAC释放的预测因素包括移动辅助器的使用,脑血管事故,妄想,手术前输血,跌倒史,急性损伤 (AKI) 和缺乏同意能力.
- 发现非操作性管理有助于防止PAC的放任.
结论:
- 几种临床和人口因素在老年EGS患者中显著预测出院到PAC.
- 早期识别这些预测因素可以帮助优化出院规划和临床决策.
- 这项研究强调了干预的关键领域,以改善老年手术患者的治疗结果.
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