EXPLORING OUTCOMES AFTER CRITICAL ILLNESS IN THE ELDERLY

描述：（改编自研究者摘要）研究以下因素的影响 重症监护室（ICU）治疗对老年患者2岁时结局的影响 几周后，一个月后，三个月后，六个月后， 出院，以便（1）评估三个方面的结局状况：出院 需求，功能状态和健康状况;（2）确定如何出院 需求、功能状态和健康状况随时间变化;（3）评估 出院前执行出院计划，并评估时间和 从病人出院后的角度来看，出院计划是否足够; (4)比较老年人的结局和出院需求;（5）检查 疾病严重程度对出院需求和出院后的影响 随着时间的推移，功能和健康状况;（6）修改和试点测试拟议的 以ICU为基础的护理筛查干预更能识别出院需求 准确和有效地，从而提高护理质量。 目的： (1)随访老年ICU患者出院后的综合研究 出院需要和ICU治疗对5岁时结局的影响 间隔：短期（出院后两周和一个月），中度， （出院后3个月和6个月）和长期（出院后12个月） （2）比较老年ICU患者与中年ICU患者的结局 ICU患者，并评估年龄对结局的影响程度 方差（第一阶段）。 这些目标将通过一个纵向 前瞻性，小组研究设计，使用邮寄问卷。 根据所获得的信息，一个基于ICU的护理干预， 改善老年危重病人住院后护理， 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、疾病严重程度、诊断、ICU 接受的治疗，住院和ICU住院时间，社会支持， 出院后的支持服务，以及社会人口变量，包括 年龄、性别和种族。 将使用相关分析对数据进行分析， 重复测量ANOVA和多元回归。 影响：（1） 提供了有关老年病人出院需要的数据， 危重;（2）确定出院需求的结果， 随着时间的推移，功能状态和健康状况;（3）为试点测试提供数据， 以ICU为基础的护理干预对改善老年患者出院计划流程的作用 老年重症患者。

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.