A RANDOMIZED, CONTROLLED CLINICAL-TRIAL OF A GERIATRIC CONSULTATION TEAM - COMPLIANCE WITH RECOMMENDATIONS
A RANDOMIZED, CONTROLLED CLINICAL-TRIAL OF A GERIATRIC CONSULTATION TEAM - COMPLIANCE WITH RECOMMENDATIONS
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DOI：
10.1001/jama.255.19.2617
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发表时间：
1986-05-16
影响因子：
120.7
通讯作者：
COHEN, HJ
中科院分区：
文献类型：
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作者：
ALLEN, CM;BECKER, PM;COHEN, HJ
作为一项前瞻性、随机、对照研究的一部分，我们对老年咨询小组的有效性进行了研究，检查了医院工作人员对小组建议的依从性。为185例年龄在75岁或以上的患者制定了建议，这些患者被随机分为干预组（n = 92）和对照组（n = 93）。在对照组中，只有27.1%的行动，将已建议的团队是独立执行的房子的工作人员。通常被忽视的问题包括多种药物，感觉障碍，混乱和抑郁症。在干预组中，总体依从性为71.7%。最高的依从性发生在解决不稳定和福尔斯（95.0%）和出院计划（94.3%）的建议。我们的结论是，一个老年咨询团队贡献了大量的额外投入到老年患者的护理。此外，对老年病咨询小组提出的建议的遵守程度较高，从而克服了建立这种服务的第一个障碍。
As a part of a prospective, randomized, controlled study of the effectiveness of a geriatric consultation team, we examined compliance by the house staff with recommendations made by the team. Recommendations were formulated for 185 patients, aged 75 years or older, who were randomized into intervention (n = 92) and control (n = 93) groups. In the control group, only 27.1% of the actions that would have been recommended by the team were implemented independently by the house staff. Problems commonly neglected included polypharmacy, sensory impairment, confusion, and depression. In the intervention group, overall compliance was 71.7%. Highest compliance occurred for recommendations addressing instability and falls (95.0%) and discharge planning (94.3%). We conclude that a geriatric consultation team contributes substantial additional input into the care of older patients. Furthermore, relatively high compliance can be achieved with recommendations made by a geriatric consultation team, thereby overcoming the first barrier to the establishment of such a service.