老年人社区压力损伤的变革性见解:大数据分析
Sigal Shafran-Tikva1,2, Gillie Gabay3, Ilya Kagan4
1Jerusalem College of Technology, Health Informatics, Givat Mordechai, Jerusalem 91160, Israel.
Healthcare (Basel, Switzerland)
|January 25, 2025
概括
大数据分析在老年人中发现了社区获得压力损伤 (CAPI) 的新指标. 这些发现有助于在社区护理环境中早期发现和预防压力.
科学领域:
- 老年学是一门学科.
- 在医疗保健中的数据科学.
- 护理研究 护理研究
背景情况:
- 在老年人群中,社区获得的压力损伤 (CAPI) 是一个重大问题.
- 有效的检测和预防策略对于改善患者的治疗结果和减少医疗保健负担至关重要.
研究的目的:
- 利用大数据分析来识别与老年人中CAPI相关的新型患者特征.
- 为开发数据驱动的CAPI检测和预防方法提供信息.
主要方法:
- 两家医疗中心 (2016-2018) 的44449名内科住院患者电子病历的回顾性分析.
- 数据工程师策划和编码护理评估,而数据科学家分析患者特征,CAPI细节,生命体征和实验室结果在入院后36小时内.
主要成果:
- 在部 (56.9%),圣骨 (11.8%) 和脚 (10.8%) 的CAPI最为普遍.
- 受伤的严重程度从一级 (31%) 到三级 (18%) 不等.
- 相关的新型患者特征包括年龄,氧气使用,肠道功能,感官感知 (热量/疼痛),白蛋白水平,红细胞分布宽度 (RDW) 和缩血压.
结论:
- 基于数据的新型CAPI指标的识别可以提高早期检测和预防策略.
- 将这些新见解纳入临床实践,特别是社区护理,可以提高老年人的护理质量和安全性.
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