一个早期和常规收集的应用认知评估与急性护理设施后从医院出院有关
Carla S Enriquez1, Juleen Rodakowski2, Kelly Casey3
1Department of Physical Therapy Kean University.
Journal of Brown hospital medicine
|March 3, 2025
概括
使用"急性后护理活动测量应用认知住院患者简体形式 (AM-PAC ACISF) "进行常规认知评估,可以识别需要急性后护理 (PAC) 的患者. 较低的分数显著增加了医院出院后需要PAC服务的可能性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 认知科学 认知科学
背景情况:
- 患者的认知显著影响到医院后的医疗服务需求.
- 在标准的医院护理中,认知功能通常不会被例行评估.
- 了解认知状态对于排放规划和资源分配至关重要.
研究的目的:
- 调查常规收集的活动测量后急性护理应用认知住院患者简短形式 (AM-PAC ACISF) 评分和出院处置之间的关联.
- 确定应用认知分数是否可以预测急性后护理 (PAC) 的需要.
主要方法:
- 来自约翰霍普金斯医院的5236名成年患者电子病历的回顾性分析 (2020年7月 - 2021年11月).
- 评估AM-PAC ACISF分数以确定需要PAC的患者.
- 认知障碍定义为21或以下的原始分数.
主要成果:
- 从PAC出院的患者在AM-PAC ACISF t级得分比从家出院的患者低9.3分.
- 在AM-PAC ACISF分数中,最低三位数的需要PAC的可能性是最高三位数的3.4倍 (p <0.001).
- 单身生活,男性性别和特定的入院服务 (手术,神经病,骨科) 等因素也增加了PAC需求.
结论:
- 常规收集的认知评估,如AM-PAC ACISF,可以作为一个有价值的护理协调策略.
- 这些评估有助于识别患有需要急性后护理的风险较高的患者.
- 将认知查整合到日常护理中可以优化出院计划和资源利用.
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