Emergency Department Observation Units and the Older Patient
Emergency Department Observation Units and the Older Patient
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DOI：
10.1016/j.cger.2012.09.002
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发表时间：
2013-02-01
影响因子：
3.3
通讯作者：
Caterino, Jeffrey M.
中科院分区：
文献类型：
--
作者：
Moseley, Mark G.;Hawley, Miles P.;Caterino, Jeffrey M.
越来越多的急诊科（ED）正在为艾德观察单位（EDOU）的患者提供延长护理和监测。EDOU可以作为老年人住院治疗的替代方法，也可以作为临床表现不清楚的老年人的风险分层方法。他们还可以提供一段时间的治疗干预和重新评估老年患者的适当性和安全性，立即门诊治疗是不清楚的。本文讨论了EDOUs的一般特征，审查了EDOUs中老年人的适当进入和排除标准，并讨论了医疗保险患者观察状态的监管意义。
An increasing number of emergency departments (EDs) are providing extended care and monitoring of patients in ED observation units (EDOUs). EDOUs can be useful for older adults as an alternative to hospitalization and as a means of risk stratification for older adults with unclear presentations. They can also provide a period of therapeutic intervention and reassessment for older patients in whom the appropriateness and safety of immediate outpatient care are unclear. This article discusses the general characteristics of EDOUs, reviews appropriate entry and exclusion criteria for older adults in EDOUs, and discusses regulatory implications of observation status for patients with Medicare.