University of Alabama at Birmingham, Division of Gerontology, Geriatrics, and Palliative Care, United States.
Crit Rev Oncol Hematol. 2011 Apr;78(1):73-8. doi: 10.1016/j.critrevonc.2010.02.011. Epub 2010 Mar 17.
Acute care for elders (ACE) units have been established in the United States to prevent functional decline in older hospitalized patients.
We sought to examine whether an ace unit that focused specifically on care of older oncology patients (OACE) compared with a usual care cancer ward (UCCW) demonstrated improved nutritional processes of care in patients who had documentation of nutritional deficits.
We conducted a retrospective chart review to examine whether orders had been placed for a nutritional consult or use of nutritional supplements. Logistic regression analyses, controlling for confounding variables, were conducted to evaluate differences between the wards.
OACE unit patients were 2.1 times more likely than UCCW patients to have a nutrition consult placed and 2.5 times more likely to have nutritional supplements ordered.
An OACE unit model of care resulted in increased nutritional interventions. Future work is warranted to evaluate outcomes of care.
美国设立了急症老年护理（ACE）病房，以防止老年住院患者的功能下降。
我们旨在研究专门针对老年肿瘤患者的 ACE 病房（OACE）与常规癌症病房（UCCW）相比，是否能改善有营养缺陷记录的患者的营养护理流程。
我们进行了回顾性图表审查，以检查是否为营养咨询或使用营养补充剂开了医嘱。进行逻辑回归分析，控制混杂变量，以评估病房之间的差异。
OACE 病房的患者进行营养咨询的可能性是 UCCW 病房的患者的 2.1 倍，开营养补充剂的可能性是 UCCW 病房的患者的 2.5 倍。
OACE 病房的护理模式增加了营养干预措施。未来需要进一步的工作来评估护理结果。
