在国家关节骨折登记册中 Delirium 和认知评估:一个范围审查
Niamh A Merriman1, Rose S Penfold2, Mary E Walsh3,4
1School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland. niamh.merriman1@ucd.ie.
European geriatric medicine
|June 6, 2025
概括
大多数关节骨折登记 (HFRs) 收集妄想和认知数据,但不一致的工具阻碍了比较. 标准化HFR数据收集对于改善老年人患者护理和国际研究至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科 整形外科 整形外科
- 神经科学是一个神经科学.
背景情况:
- 痴呆症和认知障碍在患有部骨折的老年人中很普遍,影响患者的治疗结果.
- 脆弱性骨折网络建议在国家关节骨折登记处 (HFRs) 进行认知状态评估.
- 当前数据记录HFR的不一致性限制了国际比较,并可能影响护理质量.
研究的目的:
- 为了识别国家HFRs收集的妄想和认知评估数据项目.
- 分析这些注册的最新年度报告中报告的关键数据.
主要方法:
- 在Medline,Embase和CINAHL数据库以及组织网站中进行全面的搜索.
- 两个作者对标题,摘要和全文进行独立评估.
- 从符合条件的HFR中提取预规定的数据项目,并随后进行描述性分析.
主要成果:
- 确定了22个HFR;64%收集了妄想数据,82%收集了认知数据.
- 观察到评估工具的异质性,50%的人建议使用4AT.
- 痴呆症和认知评估的完成率有很大的差异,正确的得分率也是如此.
结论:
- 大多数HFR包括妄想和认知评估数据.
- 在用于数据收集的工具和方法中存在显著的异质性.
- 提高HFR数据收集的一致性对于改善注册表之间的可比性和患者护理至关重要.
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