High Yield Research Opportunities in Geriatric Emergency Medicine: Prehospital Care, Delirium, Adverse Drug Events, and Falls
High Yield Research Opportunities in Geriatric Emergency Medicine: Prehospital Care, Delirium, Adverse Drug Events, and Falls
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DOI：
10.1093/gerona/glr040
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发表时间：
2011-07-01
影响因子：
5.1
通讯作者：
Miller, Douglas K.
中科院分区：
文献类型：
--
作者：
Carpenter, Christopher R.;Shah, Manish N.;Miller, Douglas K.
紧急服务构成了老年人重要且经常使用的安全网，老年人的紧急就诊往往表明其功能衰退和死亡的可能性很高，而通过紧急系统进行的干预有很大机会改变需要其服务的老年患者的临床病程。然而，缺乏广泛采用基于应急系统的干预措施的证据基础。在本文中，我们回顾了证据并提出了关键的研究问题，以利用这个机会优化在四个领域寻求紧急护理的老年人的健康轨迹：院前护理、谵妄、药物不良事件和跌倒。
Emergency services constitute crucial and frequently used safety nets for older persons, an emergency visit by a senior very often indicates high vulnerability for functional decline and death, and interventions via the emergency system have significant opportunities to change the clinical course of older patients who require its services. However, the evidence base for widespread employment of emergency system-based interventions is lacking. In this article, we review the evidence and offer crucial research questions to capitalize on the opportunity to optimize health trajectories of older persons seeking emergency care in four areas: prehospital care, delirium, adverse drug events, and falls.