Occupational Therapy Department, The Alfred Hospital, PO Box 315, Prahran 3181, Melbourne, Victoria, Australia.
Am J Occup Ther. 2012 Jul-Aug;66(4):431-7. doi: 10.5014/ajot.2012.003137.
Hospitalized older people are at risk of functional decline, and risk increases with length of stay (LOS). We measured the impact on LOS and discharge destination of targeted occupational therapy and a functional conditioning program (FCP) for older adults admitted to a metropolitan trauma unit.
The intervention group consisted of 50 participants > 65 yr old living independently in the community before admission. Outcomes were compared with historical control group data (N = 105).
The intervention group's mean LOS was 2 days less than that of the control group (p = .04). A higher proportion in the intervention group was also discharged to home, but the difference was not statistically significant. Referrals to occupational therapy increased significantly (p = .05), and participants were seen 1.5 days sooner (p = .003) than the control group. Referral to FCP was 7 times higher in the intervention group (p = .001).
Targeted occupational therapy and FCP can improve LOS in older trauma patients.
住院老年人有功能下降的风险，且住院时间（LOS）越长风险越高。我们评估了针对老年人的目标性作业治疗和功能锻炼计划（FCP）对 LOS 和出院去向的影响，这些老年人被收入到一个大都市创伤病房。
干预组由 50 名 65 岁以上、在入院前能独立生活在社区的患者组成。将其结果与历史对照组数据（N=105）进行比较。
干预组的 LOS 比对照组少 2 天（p=0.04）。干预组中更多的患者出院回家，但差异无统计学意义。向作业治疗师的转介显著增加（p=0.05），且患者比对照组早 1.5 天接受治疗（p=0.003）。干预组对 FCP 的转介率高 7 倍（p=0.001）。
针对老年人的作业治疗和功能锻炼计划可以改善创伤后老年人的 LOS。
