急诊科跌倒风险的筛选和评估。

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE
Paul Fulbrook, Sandra J Miles, Faye Jordan, Sarah Hazelwood, Hwee Yong Debbie Lee
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引用次数: 0

摘要

背景:跌倒是伤害的一个来源,重复急诊就诊和住院的老年人。开展全面的老年筛查,包括跌倒风险,建议在指导方针的最佳老年人急诊科护理。方法:在澳大利亚一家大型三级医院急诊科进行了一项实用的前瞻性队列研究,以评估老年人进一步跌倒风险筛查的使用情况。主要观察指标为住院时间;放电目的地;30天和90天的重新陈述。结果:在651例符合条件的病例中,随机招募320例在同意后进行进一步筛查。实施队列在急诊科平均多花了45 m,其中更大比例的患者住进了短期住院单元,在那里呆的时间比比较队列长。在实施队列中,与30天跌倒相关的表征显著减少(2.9 %)。结论:尽管在实施队列中,30天内急诊科再次就诊的人数略有减少,但住院率并未减少。需要进一步的研究来检验急诊部门额外的跌倒风险筛查和干预的成本效益比。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Screening and assessment of falls risk in the emergency department.

Background: Falls are a source of harm, repeat emergency department visits and hospital admission for older adults. Undertaking a comprehensive geriatric screening including falls-risk is recommended in guidelines for optimal older adult emergency department care.

Methods: A pragmatic prospective cohort study was undertaken to evaluate use of further falls-risk screening in older adults in a large tertiary Australian hospital emergency department. Primary outcome measures of interest were length of stay; discharge destination; 30-day and 90-day re-presentations.

Results: Of 651 eligible cases, 320 were randomly recruited for further screening following consent. The implementation cohort spent an average 45 m longer in the emergency department with a greater proportion admitted to the short stay unit, staying there longer than a comparison cohort. There were significantly fewer 30-day fall-related representations (2.9 %) in the implementation cohort.

Conclusions: Despite a small reduction in emergency department re-presentation within 30 days in the implementation cohort, hospital admission was not reduced. Further research is needed to examine any cost-benefit ratio of additional falls-risk screening and intervention in emergency departments.

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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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