在非住院环境中进行全面的老年医疗评估:系统性审查的概述
Jaya Singh Kshatri1,2, Daisy J A Janssen3,4, Susan D Shenkin5
1Indian Council of Medical Research-Regional Medical Research Centre, Bhubaneswar, India.
综合老年医学评估 (CGA) 显示,老年人住院和功能方面的益处有限. 然而,CGA可能会降低脆弱性和死亡率,特别是在脆弱人群中. 在低收入国家需要进一步的研究.
科学领域:
- 老年学是指老年学的学科.
- 老年医学 老年医学
- 公共卫生 公共卫生
背景情况:
- 综合老年评估 (CGA) 是针对老年人的健康需求的标准干预措施.
- 在医院之外的CGA有效性的证据是不确定的.
- 这项研究综合了非医院环境中CGA模型的证据.
研究的目的:
- 评估各种综合老年学评估 (CGA) 模型的有效性,可行性和可接受性.
- 综合当前关于CGA在初级保健,门诊,社区和家庭环境中的证据.
- 确定非医院环境中CGA实施的促进者和障碍者.
主要方法:
- 进行了系统性审查 (包括元分析) 的概述.
- 搜索覆盖了主要数据库,直到2023年8月.
- 审查的重点是非医院环境中的50岁以上的成年人,不包括特定的高风险群体.
主要成果:
- 包括22项系统性审查 (478项初级研究,超过136336名参与者).
- 大多数评论发现CGA对住院,生活质量或功能没有显著影响.
- 在一些研究中,CGA在降低脆弱性和死亡风险方面显示出潜在的益处.
结论:
- 在其领域,交付和频率方面,CGA模型非常多样化.
- 证据表明,CGA对住院和功能有有限的益处,但对脆弱性和死亡率有潜在的积极影响.
- 低收入和中等收入国家需要紧急试验,因为成年人口越来越老.
更多相关视频
04:13Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
Published on: February 8, 2019
12:18A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Assessment of the Gastrointestinal System I: Subjective Data
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Restorative Care
Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
