将数据联系起来,以确定痴呆症中30天再入院的风险
Pamela S Roberts1, Chih-Ying Li, Debra S Ouellette
1Cedars-Sinai, 8700 Beverly Blvd, Ste 2416, Los Angeles, CA 90048.
The American journal of managed care
|January 9, 2026
概括
电子健康记录确定了阿尔茨海默病和相关痴呆症 (ADRD) 患者30天再入院的关键风险因素. 了解这些因素可以改善护理连续性,并降低ADRD人群的医疗费用.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 医疗信息学 医疗信息学
背景情况:
- 对痴呆症护理的日益增长的需求凸显了对患者接触的标准化护理的需求.
- 电子健康记录 (EHR) 为改善患者护理连续性提供了有价值的数据来源.
研究的目的:
- 确定阿尔茨海默病和相关痴呆症 (ADRD) 患者30天再入院的风险因素.
- 利用EHR衍生变量来提高对ADRD患者再接收驱动因素的理解.
主要方法:
- 在2018年10月至2022年3月期间出院的ADRD成年患者 (≥65岁) 中,对14101名成年患者进行了回顾性,横截面研究.
- 从电子健康记录中提取的数据包括人口统计数据,病史和跨护理情节的遭遇细节.
主要成果:
- 高龄,男性性别,不说英语的状态,严重的并发症,长时间住院 (>5天),多次之前的手术或入院,频繁的咨询和非家庭出院的环境是显著的再录取风险因素 (P < .05).
结论:
- 跨护理情节的EHR数据集成为ADRD再接收因素提供了关键的见解.
- 识别这些因素可以为改善ADRD患者和护理人员的护理连续性的策略提供信息,从而有可能降低成本并提高结果.
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