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首页> 外文期刊>Applied nursing research: ANR >Screening hospitalized injured older adults for cognitive impairment and pre-injury functional impairment
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Screening hospitalized injured older adults for cognitive impairment and pre-injury functional impairment

机译：筛查住院的受伤老年人的认知障碍和损伤前功能障碍

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摘要

Cognitive and functional impairments are leading predictors of poor outcomes among older adults, yet few hospitals collect these variables for injured older adults (IOAs). In this prospective descriptive study, we sought to determine the feasibility of screening IOAs for cognitive and pre-injury functional impairment; and to examine the prevalence of impairment at two acute care hospitals, using the Mini-Cog or Informant Questionnaire on Cognitive Decline in the Elderly (IQCDE), and Vulnerable Elder Survey (VES-13). Eighty patients were screened. Demographics included: mean age 78.7; female gender 83%; falls 89%. Cognitive impairment was present in 36 (44%) patients, and pre-injury functional impairment was present in 62 (78%) patients. Screening respondents included: patients: 53 (66%); adult children: 18 (23%); spouses: 5 (6%), and other 4 (5%). A combination of brief screening instruments for use with IOAs or surrogates is useful for capturing important variables for risk adjustment and care management.
机译：认知和功能障碍是老年人不良结局的主要预测因素，但很少医院收集受伤的老年人（IOA）的这些变量。在这项前瞻性描述性研究中，我们试图确定筛查IOA的认知和损伤前功能障碍的可行性。并使用Mini-Cog或老年人认知下降知情问卷（IQCDE）和弱势老年人调查（VES-13）来检查两家急诊医院的损伤患病率。筛选了80名患者。人口统计资料：平均年龄78.7;女性83％;下降89％。 36（44％）位患者存在认知障碍，62（78％）位患者存在损伤前功能障碍。筛查受访者包括：患者：53（66％）;成年子女：18（23％）;配偶：5（6％），其他4（5％）。与IOA或替代物一起使用的简短筛选工具的组合对于捕获风险调整和护理管理的重要变量很有用。

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