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首页> 外文期刊>Zeitschrift für Gerontologie und Geriatrie >Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care
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Treatment of dementia patients with fracture of the proximal femur in a specialized geriatric care unit compared to conventional geriatric care

机译：与传统的老年护理相比，在专门的老年护理单元中治疗股骨近端骨折的痴呆患者

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摘要

To prove the efficiency of a specialized geriatric ward (cognitive geriatric unit, CGU) for patients with a fracture of the proximal femur and additional dementia, we conducted a matched-pair analysis comparing 96 patients with fracture of the proximal femur and additional dementia matched for age, sex, surgical treatment and the degree of cognitive impairment by MMSE score. A total of 48 patients were treated in the CGU, offering extended geriatric assessment, special education of staff, and architecture appropriate for patients with cognitive decline. Target criteria were a gain in the Barthel index and Tinetti score, the length of stay, new admissions to nursing home, the frequency of neuroleptic, antidepressant, and antidementive medication, and the number of specified clinical diagnoses for the dementia syndrome. Length of stay was significantly longer in the CGU. The increase of the Tinetti score was significantly higher in the patients in the CGU, regardless of the length of stay (analysis of covariance: treatment (CGUon-CGU): F(1/93) = 9.421, p = 0.003; covariate (length of stay): F(1/93) = 3.452, p = 0.066, η2 = 3.6%). In the intervention group, the number of definite diagnoses concerning the dementia syndrome was also higher. Comparison of drug treatment and the percentage of new admission to a nursing home did not differ between groups. Treatment in a specialized, “cognitive geriatric unit” seems to result in better mobility of demented patients with proximal fractures of the femur.
机译：为了证明专门的老年病房（认知老年病科，CGU）对于股骨近端骨折并伴有其他痴呆的患者的有效性，我们进行了配对分析，比较了96例股骨近端骨折并伴有其他痴呆的患者。年龄，性别，手术治疗和MMSE评分对认知障碍的程度。共有48例患者接受了CGU的治疗，提供了扩展的老年医学评估，工作人员的特殊教育以及适合于认知能力下降患者的架构。目标标准是增加Barthel指数和Tinetti评分，住院时间，新进疗养院，抗精神病药，抗抑郁药和抗痴呆药的频率以及针对痴呆症综合征的特定临床诊断次数。 CGU的住院时间明显更长。不论住院时间长短，CGU患者的Tinetti评分增加幅度明显更高（协方差分析：治疗（CGU /非CGU）：F（1/93）= 9.421，p = 0.003；协变量（停留时间）：F（1/93）= 3.452，p = 0.066，η2 = 3.6％）。在干预组中，有关痴呆综合症的确诊率也更高。两组间药物治疗的比较和新进疗养院的百分比没有差异。在专门的“认知老年病科”中进行治疗似乎可以使患有股骨近端骨折的痴呆患者更好地活动。

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