老年急诊室多学科干预对功能状态和生活质量的影响:一个前/后队列研究
Lauren T Southerland1, Julie A Stephens2, Katherine M Hunold1
1Department of Emergency Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
概括
在急诊部 (ED) 实施老年人查,改善了老年人综合征的识别,减少了跌倒. 然而,它没有影响与健康有关的生活质量或访问后的功能状态.
科学领域:
- 老年医学 老年医学
- 紧急医疗 紧急医疗
- 实施科学 实施科学
背景情况:
- 应急部门 (ED) 的老年人查和多学科评估可以减少住院和再访.
- 这些干预措施对患者报告的与健康有关的生活质量 (HRQoL) 和功能状态的影响仍然不清楚.
研究的目的:
- 评估老年查和多学科评估干预对患者在ED报告的结果的影响.
- 评估干预对老年人的功能状态,HRQoL,跌倒和再访的影响.
主要方法:
- 一个混合型II实施/有效性前性队列研究在学术ED.
- 干预措施:老年人查 (妄,跌倒风险,护理转换) 和65岁以上成年人的多学科评估.
- 结果:在ED访问时的HRQoL和功能状态,30天和90天;比较干预前和后的队列.
主要成果:
- 老年人的查从12.3%增加到91.3% (p<0.01);多专业咨询从68.1%增加到91.3% (p<0.01).
- 队列之间在ED后访问功能下降没有显著差异.
- 身体HRQoL同样下降;精神HRQoL在前队伍中得到了更多的改善 (p=0.02).
- 在30日和90日 (p<0.04) 下降率显著下降.
- 紧急救护部门的再访和再住院情况没有变化.
结论:
- 在ED中老年人查有效地增加了老年综合征的识别和多学科咨询.
- 这项干预措施与老年人中跌倒率的减少有关.
- 该研究发现,在ED访问后,对与健康有关的生活质量或功能下降没有显著影响.
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