长期住院和等待监护的退伍军人的不良事件:回顾性队列分析
Andrea Smeraglio1,2, Daniel Heppe3,4, LeeAnn M Cox5,6
1Portland Veterans Affairs Medical Center, Portland, OR, USA. Smeragli@ohsu.edu.
Journal of general internal medicine
|May 9, 2025
概括
等待监护的退伍军人经历了长时间的住院和高不良事件率. 大多数患者最终获得了监护权,这凸显了改善这种脆弱人群的护理流程的必要性.
科学领域:
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 住院的成年人缺乏决策能力,代孕母亲经常面临延长的逗留,等待监护人.
- 监护过程可能会导致脆弱患者长时间住院.
研究的目的:
- 描述等待监护的退伍军人的住院管理,不良事件和结果.
- 确定对医疗保健系统和有关监护过程的政策的影响.
主要方法:
- 在14家退伍军人医院等待监护的170名退伍军人的回顾性队列分析.
- 数据抽象包括人口统计数据,停留时间,容量,药物管理,不良事件,监护权取得和处置.
主要成果:
- 平均逗留时间为38.5天;60%的入境是出于安置原因.
- 45%的人经历了行为干预 (持有,限制),28%的人患有医院获得的感染或跌倒.
- 3%的人死亡,72%的人最终获得了监护权.
结论:
- 在VA医院等待监护的退伍军人住院时间长,不良事件发生率高.
- 诸如束和医疗持有等干预措施是常见的.
- 需要改善政策和系统,以减轻这一群体的长时间住院治疗.
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