综合老年学评估干预在门诊老年人的有效性:一个系统性审查/元分析
Eka Dian Safitri1, Respati Wulansari Ranakusuma2, Natan Kevin Partogu Siagian2
1Clinical Epidemiology and Evidence Based Medicine Unit dr. Cipto Mangunkusumo Hospital - Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia. ed_safitri@yahoo.com.
BMC geriatrics
|June 9, 2025
概括
在门诊环境中进行综合老年学评估 (CGA) 并没有显著改善死亡率,住院或功能. 有证据表明,对生活质量有潜在的好处,但需要进一步的研究.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 临床试验 临床试验
背景情况:
- 综合老年评估 (CGA) 是脆弱老年人的关键干预措施.
- 它的有效性是在住院患者的环境中确立的.
- 在门诊环境中CGA的证据仍然有限.
研究的目的:
- 评估CGA在医院门诊环境中的有效性.
- 综合来自随机临床试验的证据.
主要方法:
- 随机临床试验的系统审查,将CGA与常规护理进行比较.
- 包容老年患者 (60岁以上) 在门诊机构.
- 搜索的数据库:PubMed,EMBASE,Proquest,临床试验注册表. 在数据库中搜索了:PubMed,EMBASE,Proquest,临床试验注册表.
- 进行了偏差风险和GRADE评估.
主要成果:
- 包括7项试验,共有3,254名参与者.
- 低质量的证据显示,对死亡率,住院或日常生活功能没有重大影响.
- 非常低质量的证据表明,3个月和12个月后生活质量可能有所改善.
- 在各个中心中,CGA的实施有很大差异.
结论:
- CGA是一种复杂的干预,受环境和实施的影响.
- 由于研究异质性,很难得出强有力的结论.
- 建议通过对门诊CGA的标准化指南进行进一步的研究.
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