...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of clinical practice >Establishing a proactive geriatrician led comprehensive geriatric assessment in older emergency surgery patients: Outcomes of a pilot study
【24h】

Establishing a proactive geriatrician led comprehensive geriatric assessment in older emergency surgery patients: Outcomes of a pilot study

机译：建立一个主动老年人LED综合老年急诊手术患者的综合性老年评估：试点研究的结果

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Summary Introduction Increasing numbers of older adults are presenting with acute surgical disease to the unselected general surgical take. General surgeons have little training to manage these patients. We developed a pilot service of proactive geriatrician input into older emergency general surgical patients in a single institution. We wanted to demonstrate if geriatricians improve the management of these patients. Methods Patients aged 70?years or older admitted acutely under the general surgeons were assessed proactively by a geriatrician using comprehensive geriatric assessment ( CGA ). Data were collected prospectively using a data collection form of any new issues detected and interventions made by the geriatricians in addition to the surgical plan. This information was entered into an excel database and analysed. Results We obtained data for 447 patients between November 2016 and July 2017. CGA led to additional diagnoses or interventions in 83% of patients. The most common problems identified included a new medical diagnosis (35.2%), polypharmacy (30%), recent falls (19.7%), weight loss (17.2%) and uncontrolled pain (16.7%). Abbreviated mental tests were performed in 87.5% patients, with 22% being detected with cognitive impairment. Frailty screening was performed in 97% of patients resulting in 38% being identified as frail. New interventions included stopping medications (40%), starting medications (28%) and referral to multidisciplinary teams (70.1%). Length of stay was reduced by 0.55?days. Conclusion Proactive geriatrician input identifies medical diagnoses and geriatric syndromes missed by the surgical teams. Managing these issues has contributed to a reduced length of stay in these patients.
机译：发明内容介绍越来越多的成年人呈急性手术疾病呈现出未选择的一般手术。一般外科医生几乎没有训练来管理这些患者。我们开发了一个在单一机构的较旧的应急普通手术患者进入的主动老年人的试点服务。我们想展示老年人改善这些患者的管理。方法以综合性老年评估（CGA）主动地评估70岁的患者急剧宣传的患者急性外科医生。数据收集形式的数据收集形式，除了外科计划外，还使用了除草剂的任何新问题。此信息已输入Excel数据库并进行分析。结果我们在2016年11月至2017年7月期间获得了447名患者的数据.CGA导致83％的患者的额外诊断或干预。确定的最常见问题包括新的医疗诊断（35.2％），复数（30％），最近跌落（19.7％），减肥（17.2％）和不受控制的疼痛（16.7％）。在87.5％的患者中进行了缩写精神试验，以认知障碍检测22％。在97％的患者中进行了脆弱的筛选，导致38％被确定为虚弱。新的干预措施包括停止药物（40％），开始药物（28％）和转介对多学科团队（70.1％）。逗留时间减少0.55？天。结论主动老年人投入识别外科小组错过的医学诊断和老年综合征。管理这些问题有助于减少这些患者的逗留时间。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号