Emergency Medicine, Jesse Brown VA Hospital, Chicago, IL 60612, USA.
Clin Geriatr Med. 2013 Feb;29(1):49-69. doi: 10.1016/j.cger.2012.10.005.
This article reviews and summarizes more than 200 studies regarding key issues surrounding the transition of elderly patients to or from the emergency department (ED), with particular attention paid to the relationship between the ED and nursing homes. Transfers of care often occur with incomplete information, which results in increased morbidity, recidivism, and cost. Transitions of elderly patients could be improved by standardizing hand-offs processes, improving discharge planning for elderly patients, developing metrics for transfers of care and geriatric care quality, and finding sustainable sources of research funding.
本文综述并总结了 200 多项关于老年患者在急诊科（ED）转入和转出相关关键问题的研究，特别关注 ED 与养老院之间的关系。由于信息不完整，导致护理交接常出现差错，从而增加发病率、复发率和成本。通过标准化交接流程、改善老年患者出院计划、制定护理和老年护理质量的转移指标以及寻找可持续的研究资金来源，可以改善老年患者的过渡。
