以家庭为基础的综合预防跌倒计划:提高年龄计划的初步数据。

IF 4.5 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Amal Aïdoud, Jaques-Alexis Nkodo, Wassim Gana, Camille Debacq, Natacha Michel, Pierre Deneau, Calyssa Trézy, Nicolas Guyot, Matthieu Coulongeat, Bertrand Fougère
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引用次数: 0

摘要

背景:尽管老年人跌倒对健康构成重大风险,而且往往是可以预防的,但许多跌倒者并不寻求医疗护理。“提高年龄”计划解决了这一挑战,为那些需要“电梯协助”但不被送往医院的老年人提供积极的跌倒预防。该方案包括(i)由紧急医疗服务(ems)进行筛查,(ii)转介进行全面的老年评估,(iii)由流动老年小组(MGT)进行家庭评估,以及(iv)转介给初级保健医生(pcp)。在这里,我们概述了程序的设计、开发和实现。方法:评估该项目在2023年的活动,包括EMS秋季报告的数量、报告的完整性、项目的资格、医生和患者的接受程度、家庭评估、对老年随访项目的依从性以及协调延迟。结果:2023年,提高年龄计划收到959份报告,占护理人员升降机协助的48%。其中,37%的报告被审查是否合格。报告通常因不相关、最近住院或难以联系pcp而存档。在符合条件的报告中,77%的人被批准进行家庭评估,其余的人被转介给老年病专家或安排住院。平均处理时间为26天。在228名有资格进行家访的患者中,150人接受了干预。当PCP认可该计划时,访问接受率更高。36%的患者接受了随访,主要是通过远程咨询。最后,15.6%的患者完成了“提高年龄”计划,这些患者的电梯辅助报告被发送给了MGT。结论:“提高年龄”项目表明EMS筛查和与MGTs合作是可行的,尽管一些患者可能会拒绝提供的服务。管理专家的持续评估和干预,以及转介到社区医疗和社会服务机构,有效地解决了老年人的需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Comprehensive, Home-Based, Fall Prevention Initiative: Preliminary Data From the Raise'Age Program

Background

Although falls among older adults pose substantial health risks and are often preventable, many fallers do not seek medical care. The Raise'Age program addresses this challenge by offering proactive fall prevention for older adults who require “lift assistance” but are not taken to hospital. The program includes (i) screening by emergency medical services (EMSs), (ii) referrals for a comprehensive geriatric assessment, (iii) in-home evaluations by a mobile geriatric team (MGT), and (iv) referrals to primary care physicians (PCPs). Here, we outline the program's design, development, and implementation.

Methods

The program's activity in 2023 was assessed with regard to the number of EMS fall reports, the reports' completeness, the program's eligibility, and acceptance by physicians and patients, in-home assessments, adherence to geriatric follow-up programs, and coordination delays.

Results

In 2023, the Raise'Age program received 959 reports, accounting for 48% of lift assistances by paramedics. Of these, 37% of the reports were reviewed for eligibility. Reports were often archived due to irrelevance, a recent hospital stay, or difficulty contacting PCPs. Among eligible reports, 77% were approved for in-home evaluations, and the remainder were referred to a geriatrician or scheduled for hospital admission. The median processing time was 26 days. Of 228 patients eligible for home visits, 150 accepted the intervention. Visit acceptance rates were higher when a PCP endorsed the program. Follow-up was provided to 36% of the patients- primarily via teleconsultation. Finally, 15.6% of the patients for whom a lift assistance report was sent to the MGT completed the Raise'Age program.

Conclusions

The Raise'Age program demonstrates that EMS screening and collaboration with MGTs are feasible, although some patients may decline the services offered. Continuous evaluations and interventions by MGTs and referrals to community-based medical and social services effectively address the needs of older adults.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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