医疗保险受益者与中风后食障碍的初次接触和出院处置
Molly Jacobs1, Richard C Lindrooth2, Marcelo C Perraillon2
1Department of Health Services Research, Management and Policy, College of Public Health and Health Professions, University of Florida, Gainesville, FL, United States.
Frontiers in stroke
|January 16, 2026
概括
大约33%的医疗保险中风患者患有吞障碍 (吞障碍),种族群体的发病率相似. 大多数患者在医院接受初级护理,并被送往康复设施,而不是直接回家.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 消化不良或吞失调是一种常见的中风后并发症.
- 早期干预失消症对于中风恢复,营养和预防肺炎至关重要.
研究的目的:
- 通过使用Medicare索赔数据分析中风患者的急性和后急性护理途径.
- 了解中风幸存者中缺食症的发病率和人口统计学变化.
主要方法:
- 从2016年1月1日到2019年10月1日,利用了100%的服务费医疗保险索赔数据.
- 包括医疗保险受益人与缺血性或出血性中风作为主要诊断.
主要成果:
- 确定了745917名中风受益者;32.5%的受益者在90天内被诊断出患有失足症.
- 缺食症的发病率在种族和族群之间差异很小.
- 大多数失消症患者 (70%) 最初在住院治疗,10%在家出院,80%在SNF或康复中心等设施出院.
结论:
- 在医疗保险受益者中,中风后食障碍的患病率约为33%.
- 脑卒中患者的护理途径主要涉及住院治疗,随后退院到康复设施.
更多相关视频
相关概念视频
Discharge Summary Forms
1.2K
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:
1.2K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
853
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
853
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.3K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.3K
Esophageal Varices-II: Clinical Features and Management
376
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
376
Acute Coronary Syndrome IV: Interprofessional Care
220
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
220
Aneurysm IV: Nursing Management
391
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
391


