Discharge Planning: Screening Older Patients for Multidisciplinary Team Referral.
Discharge Planning: Screening Older Patients for Multidisciplinary Team Referral.
复制标题
DOI：
10.5334/ijic.2252
复制
发表时间：
2016-10-10
影响因子：
2.4
通讯作者：
Marshall B
中科院分区：
文献类型：
--
作者：
Hegarty C;Buckley C;Forrest R;Marshall B
目的是确定老年人风险评估指数是否可以预测急诊部当天出院的老年患者（≥65岁）的多学科团队转诊。该研究从新西兰地区医院数据库中确定了1376名符合条件的个人。其中，12.7%被转介到多学科团队。使用单变量和多变量分析来探讨指数、其组成部分和其他人口统计学因素与转诊之间的关系。指数每增加一个单位，被转介的几率就增加9%。当单独分析指数的组成部分时，被转诊的可能性增加与未婚、以前住院超过5天、患有慢性阻塞性肺病和年龄较大有关。相反，患糖尿病的可能性降低。当分析非索引项目时，发现女性比男性更容易被提及，Māori比新西兰欧洲人更不容易被提及。通过适应，老年人风险评估指数可以提供一种简单、经济、及时的工具，帮助确定向急诊科就诊的老年人是否需要多学科小组转诊。
The objective was to determine whether the Elders Risk Assessment Index can predict multi-disciplinary team referral of older patients (≥ 65 years) in Emergency Department same-day discharges. The study identified 1,376 qualifying individuals from a regional New Zealand hospital database. Of these, 12.7 % were referred to the multi-disciplinary team. Univariate and multivariate analyses were used to explore associations between the Index, its components, and other demographic factors with referral. With every unit increase in the Index there was a 9% increase in the odds of being referred. When the components of the Index were analysed separately, an increased likelihood of being referred was associated with not being married, having had a previous hospital admission of more than five days, having chronic obstructive pulmonary disease, and being older. Conversely, a decreased likelihood was associated with having diabetes. When non-Index items were analysed it was found that females were more likely to be referred than males and that Māori were less likely to be referred than New Zealand Europeans. With adaptation, the Elders Risk Assessment Index may provide a simple, cost-effective, and timely tool to assist in determining the need for multi-disciplinary team referral for older people who present to the Emergency Department.