在被监禁期间住院治疗的老年人中发现 Delirium
Farah Acher Kaiksow1, Mustafa Quadir2, Andrea Gilmore-Bykovskyi3
1Medicine, University of Wisconsin-Madison.
概括
在老年监禁患者中,医院痴呆症的诊断不足. 这项研究强调了使用ICD-10代码更好地识别疾病的必要性,以改善对这一弱势群体的护理.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年监禁人员面临与医院相关的痴呆症的高风险,这是由于普遍的并发症和加速衰老.
- 监狱内部独特的护理流程可能会加剧这种人群的妄想风险.
研究的目的:
- 介绍使用国际疾病分类第十次修订 (ICD-10) 代码识别老年监禁患者痴呆症的初始数据.
- 强调准确使用ICD-10代码的重要性,以实现无健康信息交换.
主要方法:
- 十年来对5134例被监禁患者的入院情况进行了分析.
- 使用ICD-10代码检查痴呆症识别率的研究.
主要成果:
- 痴呆症仅在0.4%的入院患者中被编码,这表明与非监禁人口相比,有显著的低编码.
- 被诊断为痴呆症的患者有六倍的可能性通过ICD-10代码记录了先前的认知障碍.
结论:
- 监禁患者中确定的妄想率可能是由于监禁特定因素而大幅低估的.
- 进一步的研究至关重要,以确定这种服务不足的人群中痴呆症的真实流行率和风险因素.
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