术后出院恢复状态结果的描述和验证:与患者合作的基于人口的队列研究
Emily Hladkowicz1, Gurlavine Kidd2, Alana Flexman3
1Acute Care Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
British journal of anaesthesia
|June 25, 2025
概括
术后老年人的一个新的康复措施,术后出院康复状态,跟踪患者的结果超出了简单的回家. 这种顺序结果提供了更详细的恢复轨迹图片,并为未来的临床评估提供了信息.
科学领域:
- 老年人手术是一门老年人手术.
- 健康 结果 研究 研究 结果
- 以患者为中心的护理
背景情况:
- 老年人优先考虑在手术后返回家园.
- 目前的放电结果通常是二元的,缺乏时间细节.
- 为了解决这些局限性,开发了一种新的例行结果 - - 术后出院恢复状态.
研究的目的:
- 为老年手术患者定义和验证一种新的顺序结果测量方法.
- 评估术后出院恢复状态的时间测量和实用性.
- 改善对老年人大手术后康复的评估.
主要方法:
- 对65岁以上接受重大非心脏,非骨科手术 (2012-2022) 的成年人的回顾性队列研究.
- 利用来自加拿大安大略省的连接,例行收集的数据,与患者合作.
- 估计了构造,收和预测有效性;衍生并验证了一种顺序回归模型.
主要成果:
- 包括84,422名老年成人手术患者.
- 在术后第90天,93.9%的患者在家中,3.2%的患者已死亡,2.0%的患者住院,0.7%的患者正在康复中,0.2%的患者在长期护理中.
- 顺序回归模型显示的准确性不足 (c-统计值为0.700) 适用于临床使用.
结论:
- 术后出院恢复状态是一个有效和可靠的5级顺序结果,用于量化患者出院位置.
- 这种措施可以在关键的术后时间点应用.
- 与二进制结果相比,需要进一步开发以最大限度地提高其信息收益.
更多相关视频
相关概念视频
01:31Discharge Summary Forms
828
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
828
01:29Appendicitis-II: Diagnostic Studies and Management
151
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
151
01:19Restorative Care
2.1K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
01:11Guidelines for Writing Outcome
3.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.0K
01:17Classification of Illness
8.0K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
8.0K