中华老年医学杂志2024,Vol.43Issue(7) :918-923.DOI:10.3760/cma.j.issn.0254-9026.2024.07.025

老年患者住院相关性失能的识别工具

A tool for identifying hospitalization-related disability in elderly patients

刘雨桐 张谨言 董振飞 刘谦
中华老年医学杂志2024,Vol.43Issue(7) :918-923.DOI:10.3760/cma.j.issn.0254-9026.2024.07.025

老年患者住院相关性失能的识别工具

A tool for identifying hospitalization-related disability in elderly patients

刘雨桐 1张谨言 1董振飞 1刘谦2
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作者信息

  • 1. 首都医科大学第四临床医学院,北京 100176
  • 2. 首都医科大学附属北京同仁医院老年医学科,北京 100730
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摘要

早期识别具有住院相关性失能(HAD)风险的老年患者,有助于及时进行干预,从而缩短住院时间、降低医疗花费、预防并发症和避免进一步躯体功能障碍.国外学者研发了多种早期HAD识别工具,部分工具已进行了验证和推广,部分工具的应用及研发尚处于初步探索阶段.本文对HAD识别工具进行总结分析,对各种工具的适用范围、主要内容、特点、优势及缺陷、最新进展进行综述,为早期准确识别HAD高风险患者、研发适合我国老年人群的筛查工具及针对性治疗提供依据.

Abstract

Early identification of older adults at high risk for hospitalization-associated disability(HAD)is crucial for implementing timely interventions that can reduce hospital stay,medical costs,complications,and prevent further physical dysfunction.Various HAD screening tools have been developed,with some already validated and used in clinical trials,while others are still in the preliminary exploration stage.This review offers an overview of HAD identification tools,summarizing their applicability,key characteristics,advantages,disadvantages,and the latest advancements.The aim of this review is to provide information that can assist in the early and accurate identification of high-risk patients with HAD,enabling the implementation of appropriate and targeted interventions for older adults in China.

关键词

住院患者/住院相关性失能/识别工具/老年综合评估

Key words

Inpatients/Hospitalization-associated disability/Identification tool/Geriatric assessment

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基金项目

2022年首都医科大学本科生科研创新项目(XSKY2022)

出版年

2024
中华老年医学杂志
中华医学会

中华老年医学杂志

CSTPCDCSCD北大核心
影响因子:1.606
ISSN:0254-9026
参考文献量26
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