Flood Kellie L, Carroll Maria B, Le Cyndi V, Ball Linda, Esker Debbie A, Carr David B
Division of Geriatrics and Nutritional Science, Washington University School of Medicine, Barnes-Jewish Hospital, St Louis, MO 63144, USA.
J Clin Oncol. 2006 May 20;24(15):2298-303. doi: 10.1200/JCO.2005.02.8514.
The goal of this study was to characterize an elderly population admitted to a novel Oncology-Acute Care for Elders (OACE) unit, determine the prevalence of functional dependencies and geriatric syndromes, and examine their suitability for an interdisciplinary model of care.
We conducted a retrospective review of 119 patients age 65 years or older who had a primary oncologic or hematologic diagnosis and were admitted to the OACE Unit. Standard geriatric screens were administered to assess mood, functional, and cognitive status. Demographic and medical data were compiled by review of patients' medical records.
The mean age of the patients was 74.1 years (standard deviation, 5.9 years). The sample was predominantly white, of equal sex, had limitations in instrumental and basic activities of daily living, and a mean length of stay of 6 days. Geriatric syndromes detected by the OACE interdisciplinary team included cognitive impairment (dementia and/or delirium), depression, weight loss, and use of high-risk medications. Adverse events such as falls, restraint use, and pressure sores were rare.
In this descriptive study, many older cancer patients were found to have geriatric syndromes by the OACE team and these patients were considered appropriate for an interdisciplinary model of care. Additional studies are needed to compare the outcomes of hospitalized older oncology patients receiving an OACE intervention with those patients receiving usual care.
本研究的目的是对入住新型老年肿瘤急症护理（OACE）病房的老年人群进行特征描述，确定功能依赖和老年综合征的患病率，并检验他们对跨学科护理模式的适用性。
我们对119名65岁及以上、患有原发性肿瘤或血液学诊断疾病并入住OACE病房的患者进行了回顾性研究。采用标准的老年筛查方法来评估情绪、功能和认知状态。通过查阅患者病历收集人口统计学和医疗数据。
患者的平均年龄为74.1岁（标准差为5.9岁）。样本以白人为主，性别均衡，在工具性和基本日常生活活动方面存在限制，平均住院时间为6天。OACE跨学科团队检测到的老年综合征包括认知障碍（痴呆和/或谵妄）、抑郁、体重减轻和使用高风险药物。跌倒、使用约束措施和压疮等不良事件很少见。
在这项描述性研究中，OACE团队发现许多老年癌症患者患有老年综合征，这些患者被认为适合采用跨学科护理模式。需要进一步的研究来比较接受OACE干预的住院老年肿瘤患者与接受常规护理的患者的结局。
