Division of Emergency Medicine, Washington University in St. Louis, Missouri, USA.
J Gerontol A Biol Sci Med Sci. 2011 Jul;66(7):775-83. doi: 10.1093/gerona/glr040. Epub 2011 Apr 17.
Emergency services constitute crucial and frequently used safety nets for older persons, an emergency visit by a senior very often indicates high vulnerability for functional decline and death, and interventions via the emergency system have significant opportunities to change the clinical course of older patients who require its services. However, the evidence base for widespread employment of emergency system-based interventions is lacking. In this article, we review the evidence and offer crucial research questions to capitalize on the opportunity to optimize health trajectories of older persons seeking emergency care in four areas: prehospital care, delirium, adverse drug events, and falls.
紧急医疗服务是老年人常用的重要安全网,老年人的一次紧急就诊通常表明其功能下降和死亡的风险很高,通过紧急医疗系统进行干预有很大机会改变需要该服务的老年患者的临床病程。然而,广泛应用基于紧急医疗系统的干预措施的证据基础尚缺乏。在本文中,我们回顾了相关证据,并提出了关键的研究问题,以充分利用这一机会,优化寻求紧急医疗服务的老年人的健康轨迹,主要集中在四个方面:院前护理、谵妄、药物不良事件和跌倒。