A geriatric consultation team in the emergency department
A geriatric consultation team in the emergency department
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DOI：
10.1111/j.1532-5415.1997.tb01485.x
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发表时间：
1997-06-01
影响因子：
6.3
通讯作者：
Bergman, H
中科院分区：
文献类型：
--
作者：
Gold, S;Bergman, H
背景：急诊科老年患者的比例和绝对数量正在增加。老年艾德患者往往有多种医疗和心理问题，使他们在艾德护理问题。尽管如此，以前并没有关于老年艾德咨询服务的描述。戴维斯犹太总医院是一家拥有628张床位的三级医疗麦吉尔大学教学医院。它为大约16万人口提供服务，其中23%的人年龄在65岁及以上。为了满足这一群体的特殊需要，犹太总医院老年医学科在其临床和教学服务中建立了一个艾德咨询小组。咨询主要来自于转诊医生（主要是艾德医生），涵盖了医疗和心理社会问题的所有方面。老年病评估是为了做出快速处置的决策：出院回家或入住急性老年病病房或其他服务。因此，该服务的职能是为入住急症老人科病房的病人把关，并通过老人科门诊诊所、家访或与其他社区资源的联系，协调在医院（为入住其他服务部门的病人）和社区（为出院回家的病人）进行的老人科后续工作。
BACKGROUND: The proportion and absolute number of older patients presenting to emergency departments (EDs) are increasing. Older ED patients tend to have multiple medical and psychosocial problems that make their care in the ED problematic. Despite this, there have been no previous descriptions of geriatric ED consultative services.SETTING: The Sir Mortimer B. Davis Jewish General Hospital is a 628-bed tertiary care McGill University teaching hospital. It serves a population of about 160,000, of which 23% are aged 65 and older. In response to the special needs of this group, the Division of Geriatric Medicine at the Jewish General Hospital has developed, among its clinical and teaching services, an ED consultation team.PROGRAM DESCRIPTION: The consultation team is composed of a geriatrician, a full-time nurse clinician, and part-time physical and occupational therapists. Consultations are received from referring, primarily ED physicians and encompass all aspects of medical and psychosocial issues. Geriatric assessment is geared toward decision making for rapid disposition: discharge home or admission to acute geriatrics ward or other services. Thus, the service functions as a gatekeeper for admission to the acute geriatrics ward, as well as coordinating geriatric follow-up both in-hospital (for patients admitted to other services) and in the community (for patients discharged home), via the outpatient geriatric clinic, home visits, or linkage to other community resources.