SC Geriatria, Università degli Studi di Trieste and Azienda Ospedaliero-Universitaria di Trieste, Trieste, Italy.
Arch Gerontol Geriatr. 2009;49 Suppl 1:49-60. doi: 10.1016/j.archger.2009.09.012.
In 2005, the Azienda Ospedaliero-Universitaria of Trieste (AOUT) activated the hospital-based post-acute geriatric evaluation and management unit (PAGEMU). The purpose of the study is to illustrate the activities of the PAGEMU, and to evaluate the effects of personalized and multidisciplinary care on geriatric inpatients. The evaluation for admission in PAGEMU included general admitting criteria, co-morbidity, autonomy, and assessment of the patient's pre-morbid functional status. During the stay, inpatients completed their treatment plan, comprehensive geriatric assessment was carried out, and rehabilitation and nutritional interventions were implemented. If necessary, a new diagnostic-therapeutic plan was provided. A number of 826 patients were evaluated for admission in PAGEMU (612 patients from surgical departments and 214 from medical wards). The mean length of stay was 19.55 days. Re-evaluation of patients at discharge showed a statistically significant improvement in co-morbidity and in self-sufficiency, not in cognitive or mood status. PAGEMU is a valid model both for patient-oriented and for management-oriented objectives, shortening the length of stay in acute care settings and increasing hospital turnover.
2005 年，的里雅斯特大学医院（AOUT）启动了基于医院的后期老年评估和管理单元（PAGEMU）。本研究的目的是说明 PAGEMU 的活动，并评估个性化和多学科护理对老年住院患者的影响。PAGEMU 入院评估包括一般入院标准、合并症、自主性以及患者发病前功能状态的评估。在住院期间，住院患者完成了他们的治疗计划，进行了全面的老年评估，并实施了康复和营养干预措施。如有必要，提供新的诊断-治疗计划。共有 826 名患者接受了 PAGEMU 的入院评估（612 名来自外科病房，214 名来自内科病房）。平均住院时间为 19.55 天。出院时对患者的重新评估显示，合并症和自理能力有统计学显著改善，但认知或情绪状态没有改善。PAGEMU 是一种既面向患者又面向管理目标的有效模式，缩短了急性护理环境中的住院时间并增加了医院周转率。
