[在急诊科选择患者的老年康复:与康复结果相关的患者因素]。

Q4 Nursing
Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-03-14 eCollection Date: 2019-03-01 DOI:10.36613/tgg.1875-6832/2019.01.02
Stephanie van Zuilekom, Renate M Schut, Barbara C van Munster, Petra Spies
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引用次数: 0

摘要

在荷兰,由医院急诊科的老年病专家挑选的病人可以(除其他外)接受老年康复治疗。本研究的目的是调查在与老年病专家接触后被选中在急诊科进行老年康复的患者的康复轨迹,并确定与康复结果相关的患者因素。成功康复的定义是在最多6个月后出院回家或入住护理机构。纳入2016年入选老年康复的所有患者。回顾性收集电子病历资料。纳入74例患者(平均年龄84.7岁)。84%的人在6个月内成功出院回家或入住护理机构。在失败的那一组中,摔倒和在家没有伴侣的几率更高。在成功的一组中,更多的患者在康复前独立生活,没有专业帮助。值得注意的是,所分析的患者组是一个虚弱的组,考虑到高一年死亡率(21.6%)和总体功能下降,尽管老年康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Geriatric rehabilitation of patients selected at the emergency department: patient factors related to rehabilitation outcome].

In the Netherlands geriatric rehabilitation is possible (among others) for patients who are selected by a geriatrician at the emergency department of a hospital. The aim of this study was to investigate the rehabilitation trajectory of patients who were selected for geriatric rehabilitation at the emergency department after a single contact with the geriatrician and to identify patient factors related to rehabilitation outcome. Successful rehabilitation was defined as discharge to home or a residential care facility after a maximum of 6 months. All patients who in 2016 were selected for geriatric rehabilitation were included. Data were collected retrospectively from electronic patient files. 74 patients were included (mean age 84.7 years). 84% were successfully discharged home or to a residential care facility within six months. The presentation with a fall and the absence of a partner at home was higher in the unsuccessful group. In the successful group more patients lived independent and without professional help prior to rehabilitation. Noteworthy is that the analysed patient group is a frail group, considering the high one-year mortality (21,6%) and overall functional decline despite geriatric rehabilitation.

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CiteScore
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