EXPLORING OUTCOMES AFTER CRITICAL ILLNESS IN THE ELDERLY

描述：(改编自调查员摘要)研究 重症监护病房(ICU)治疗对两岁以下老年患者预后的影响 周、一个月、三个月、六个月和十二个月后 出院，以(1)评估三个方面的结果状况：出院 需求、功能状态和健康状态；(2)确定如何出院 需求、功能状态和健康状态随时间变化；(3)评估 出院计划执行预出院并评估时间和 从患者出院后的角度看出院计划是否充分； (4)比较老年人和出院需求的结果；(5)检查 病情严重程度对出院需求和出院后的影响 随时间推移的功能和健康状态；(6)修改和试运行建议的 以ICU为基础的护理筛查干预以识别更多出院需求 准确、高效，从而提高了护理质量。目标： (1)出院后跟踪老年ICU患者全面学习 出院需求和ICU治疗对5岁以下儿童预后的影响 间隔：短期，(出院后两周和一个月)，中度， (退伍后三个月和六个月)和长期(退伍后12个月 出院)；(2)比较老年和中年ICU患者的预后 ICU患者并评估年龄对预后的影响程度 差异(第一阶段)。这些目标将通过纵向的 前瞻性、小组研究设计，使用邮寄问卷。 根据所获得的信息，基于ICU的护理干预 将改善危重老年患者的院后护理 实施和试点测试(第二阶段)。变量：出院需求、 功能状态、健康状态、病情严重程度、诊断、ICU 接受的治疗，住院和ICU的住院时间，社会支持，使用 离职后的支助服务，以及社会人口变量，包括 年龄、性别和种族。数据将使用相关分析进行分析， 重复测量方差分析和多元回归分析。影响：(1) 提供有关老年患者出院需求的数据 危重；(2)确定有关出院需求的结果； 随时间推移的功能状态和运行状况；(3)为试运行测试和 以ICU为基础的护理干预改进出院计划流程 危重的老年病人。

DESCRIPTION: (Adapted from investigator's abstract) To study the impact of intensive care unit (ICU) treatment on outcomes for elderly patients at two weeks, one month, three months, six months, and twelve months after discharge in order to (1) assess outcome status in three areas: discharge needs, functional status, and health status; (2) determine how discharge needs, functional status, and health status change over time; (3) evaluate the discharge planning performed predischarge and assess the timing and adequacy of discharge plans from the patients' perspective post discharge; (4) compare the outcomes of elderly and discharge needs; (5) examine the effect of severity of illness on discharge needs and post discharge functional and health status over time; (6) modify and pilot test a proposed ICU based nursing screening intervention to identify discharge needs more accurately and efficiently, thus improving the quality of care. Objectives: (1) to follow elderly ICU patients after discharge to comprehensively study the discharge needs and the impact of ICU treatment on outcomes at five intervals: short term, (two weeks and one month after discharge), moderate, (three and six months after discharge) and long term (12 months after discharge); (2) to compare outcomes of elderly ICU patients with middle aged ICU patients and to evaluate the extent to which age accounts for outcome variance (Phase I). These objective will be met using a longitudinal prospective, panel research design, with the use of mailed questionnaires. Based on the information obtained, an ICU based nursing intervention to improve post-hospitalization care for critically ill elderly patients will be implemented and pilot tested (Phase II). Variables: Discharge needs, functional status, health status, severity of illness, diagnosis, ICU treatments received, hospital and ICU length of stay, social support, use of support services after discharge, and socio-demographic variables including age, gender and race. Data will be analyzed using correlational analysis, repeated measures ANOVA, and multiple regression. Implications: (1) provides data on discharge needs of elderly patients who have been critically ill; (2) identifies outcomes regarding discharge needs, functional status and health over time; (3) provides data to pilot test an ICU based nursing intervention to improve the discharge planning process for critically ill elderly patients.