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首页> 外文期刊>Nursing research >Development and validation of a screen for specialized discharge planning services.
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Development and validation of a screen for specialized discharge planning services.

机译：专门的排放计划服务屏幕的开发和验证。

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BACKGROUND: There is no rigorously developed and empirically validated screening tool to identify, early in the hospital stay, those adults who will use specialized hospital discharge planning services. OBJECTIVES: To develop and validate a screen using hospital admission clinical data that discriminates between adults who use and do not use specialized discharge planning services. METHODS: Subjects consisted of prospectively sampled adult patients admitted to two hospitals located in a Midwestern United States city in 1998 (tool development sample, n = 991) and 2002 (validation sample, n = 303). Variables suggestive of being predictive of use of specialized hospital discharge planning services were identified from the literature and were obtained from direct participant interviews, record review, and administrative databases. The outcome was a documented referral for involvement of specialized discharge planning personnel with the patient's plan of care and was identified from review of hospital records. RESULTS: Of 24 variables examined, only age, disability, living alone, and self-rated walking limitation were jointly predictive of use of specialized discharge planning services in the development sample. Standardized coefficients from the joint model were used to estimate a screening score. A cut-point was derived and had a sensitivity of 75% and specificity of 78% in the development sample. The screen performed equally well in the validation sample and the development sample. CONCLUSION: A screening tool consisting of a limited number of characteristics readily available early in the hospital stay that were shown to be highly predictive of the use of specialized discharge planning services was developed. The application of such a tool will hopefully assist providers to deploy services appropriately and in a timely fashion.
机译：背景：没有经过严格开发和经验验证的筛查工具，可以在住院期间早期识别出将使用专业出院计划服务的成年人。目的：使用住院入院临床数据来开发和验证筛查方法，以区分使用和不使用专门出院计划服务的成年人。方法：对象包括1998年（工具开发样本，n = 991）和2002年（验证样本，n = 303）在美国中西部城市的两家医院入院的前瞻性抽样成年患者。从文献中确定了暗示可以预测使用专门医院出院计划服务的变量，这些变量是从直接参与者访谈，记录审查和行政数据库中获得的。结果是有记录的转介，要求专门的出院计划人员参与患者的护理计划，并通过检查医院记录来确定。结果：在检查的24个变量中，只有年龄，残疾，独自生活和自我评估的步行限制共同预测了开发样本中使用专门的出院计划服务。来自联合模型的标准化系数用于估计筛查分数。得出了一个切点，在开发样品中灵敏度为75％，特异性为78％。该屏幕在验证样本和开发样本中的表现同样出色。结论：开发了一种筛查工具，该工具包括在住院期间早期可获得的有限数量的特征，这些特征显示出对使用专门出院计划服务的高度预测。这种工具的应用有望帮助提供商适当，及时地部署服务。

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