A randomized trial of office-based screening for common problems in older persons
A randomized trial of office-based screening for common problems in older persons
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DOI：
10.1016/s0002-9343(97)00089-2
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发表时间：
1997-04-01
影响因子：
5.9
通讯作者：
Adams, J
中科院分区：
文献类型：
--
作者：
Moore, AA;Siu, AL;Adams, J
目得：测试10分钟的办公室工作人员管理的屏幕的有效性，以评估营养不良/体重减轻，视力损害，听力损失，认知障碍，尿失禁，抑郁症，身体限制，并在办公室实践中看到的老年人腿部活动减少。这个屏幕加上临床总结，以协助医生在进一步评估和管理屏幕包括problem.PATIENTS和方法：二十六个社区为基础的内科医生和家庭医生在洛杉矶的办公室的做法被随机干预或对照组。261名年龄大于或等于70岁的患者参加了这项研究，并在这些医生那里进行了新的访视或体格检查。在入组访视时，干预组患者接受筛选措施，并向其医生提供相关的临床总结。结果：干预组的听力损失被医生更普遍地检测到（40%干预组对28%对照组）和进一步评估（29%对16%）（P
PURPOSE: To test the effectiveness of a 10-minute office-staff administered screen to evaluate malnutrition/weight loss, visual impairment, hearing loss, cognitive impairment, urinary incontinence, depression, physical limitations, and reduced leg mobility among older persons seen in office practice. This screen was coupled with clinical summaries to assist the physician in further evaluating and managing the screen-included problems.PATIENTS AND METHODS: Twenty-six community-based office practices of internists and family physicians in Los Angeles were randomized to intervention or control groups. Two hundred and sixty-one patients aged greater than or equal to 70 years and seeing these physicians for a new visit or a physical examination participated in the study. At the enrollment visit intervention group patients were administered the screening measure and their physicians were given the pertinent clinical summaries. Outcome measures were detection of, and intervention for conditions screened, and health status 6 months after the intervention.RESULTS: Hearing loss was both more commonly detected (40% intervention versus 28% control) and further evaluated (29% versus 16%) by physicians in the intervention group (P