公共卫生 公共卫生
Zaldy S Tan1,2, Nabeel Qureshi1,3, Nancy Sicotte1
1Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
概括
一个医院查计划在老年患者中发现了23%的痴呆病例. 早期识别认知障碍可以改善患者护理并降低医疗保健成本.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 超过40%的老年医院患者患有阿尔茨海默病或相关痴呆症 (ADRD),诊断不足是常见的.
- 医院设置经常错过ADRD病例,影响患者的护理和结果.
研究的目的:
- 实施和评估一项全面的项目,用于识别住院患者的认知障碍.
- 根据认知障碍状态来评估医疗保健利用的差异.
主要方法:
- 修改了电子健康记录 (EHR) 以标记患有ADRD的患者.
- 使用4AT查的65岁以上的患者进行了查,随后进行了AD8痴呆症面试以获得阳性查.
- 分析了查率,并使用回归模型来根据认知状态比较停留时间,再入院和之前的利用情况.
主要成果:
- 查计划发现了22.6%的痴呆症病例,标记了454名患者的痴呆症面试结果.
- 患有ADRD或阳性查的患者年龄较大,非白人,从医疗服务中入院,并且先前医疗保健利用率较高.
- 未被诊断的认知障碍与更长的住院时间和更多的先前住院相关;被诊断的ADRD与更高的90天再入院有关.
结论:
- 一个系统的查计划显著提高了住院老年人的可能痴呆症的识别.
- 早期和系统地识别认知障碍可以提高患者的治疗结果,优化医疗保健资源的使用,降低护理费用.
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