EVALUATION OF FUNCTIONAL IMPROVEMENT IN OLDER PATIENTS WITH COGNITIVE IMPAIRMENT, DEPRESSION AND/OR DELIRIUM ADMITTED TO A GERIATRIC CONVALESCENCE HOSPITALIZATION UNIT

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2004-01-01 DOI:10.1016/j.archger.2004.04.021

A. ESPERANZA, R. MIRALLES, I. RIUS, B. FERNANDEZ, A. DIGÓN, P. ARRANZ, P. GONZALEZ, Y. RAJA, P. SERRANO, M. ZAFRA, O. VAZQUEZ, P. GILI, A.M. CERVERA

引用次数: 0

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老年康复住院单位收治的认知障碍、抑郁和/或谵妄老年患者功能改善的评估

认知障碍、抑郁和谵妄是老年患者高发的问题。老年康复病房(GCU)是一种提供跨学科老年干预方案的住院设施，可能更适合这些患者。本研究旨在分析GCU住院的老年认知障碍、抑郁和/或谵妄患者的功能改善(FI)。一组107名患者接受了特殊的护理，习惯性地在GCU进行，他们也包括在康复计划中。认知障碍、抑郁和谵妄根据标准化方案进行诊断。分析变量为:年龄、入院前(BBA)、入院时(BA)和出院时(BD)的功能状态(Barthel指数)、诊断类别、认知功能(MMSE)和出院后目的地。采用校正后的Heinemann指数(CHI)评价GCU-stay期间获得的FI, CHI = 100 × (BD-BA)/(BBA-BA);采用效率指数(El)分析FI与GCU停留时间的关系，El = (BD-BA)/(GCU停留天数)。根据CHI，患者分为三组。第一组:CHI = 0或阴性(住院期间丧失功能能力的患者、因急性恶化而死亡或转送医院的患者)。II组:CHI < 35%(高FI)。平均年龄77.6±9.1岁，诊断类别为骨折/骨科49例(45.7%)，神经学27例(25.2%)，肺/心脏学6例(5.6%)，其他25例(23.3%)。平均MMSE和BA评分分别为16.9 +/- 9.4和29.6 +/- 18.9。出院后目的地为:63例(58.8%)患者返回家中，28例(26.1%)患者已确定住院，11例(10.2%)患者死亡，最后5例(4.6%)患者转至急症护理医院。I组35例(32.7%)，平均El = 0.12 +/-1.1;II组13例(12.1%)和0.26 +/- 0.38;III组59例(55.1%)和0.94例(±0.97)。尽管存在认知障碍、抑郁和/或谵妄，但很大比例的患者(67.2%)的功能能力得到了显著改善。35%(中度FI)。第三组:CHI >/=

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.