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改善老年患者在院前评估和护理中的调整。

Improving adjustments for older age in pre-hospital assessment and care.

机构信息

Department of Research, Norwegian Air Ambulance Foundation, P. O. Box 94, Drøbak 1448, Norway.

出版信息

Scand J Trauma Resusc Emerg Med. 2013 Jan 23;21:4. doi: 10.1186/1757-7241-21-4.

DOI:10.1186/1757-7241-21-4
PMID:23343340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3560235/
Abstract

Population estimates projects a significant increase in the geriatric population making elderly trauma patients more common. The geriatric trauma patients experience higher incidence of pre-existing medical conditions, impaired age-dependent physiologic reserve, use potent drugs and suffer from trauma system related shortcomings that influence outcomes. To improve adjustments for older age in pre-hospital assessment and care, several initiatives should be implemented. Decision-makers should make system revisions and introduce advanced point-of-care initiatives to improve outcome after trauma for the elderly.

摘要

人口估计显示,老年人口数量显著增加,使老年创伤患者更为常见。老年创伤患者患有更高比例的基础疾病,生理储备功能随年龄减退,使用强效药物,并受到与创伤系统相关的缺陷的影响,这些因素都对结果产生影响。为了改善院前评估和护理中对高龄的调整,应实施若干举措。决策者应进行系统修订,并引入先进的即时护理举措,以改善老年创伤患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6249/3560235/ff3410bcbfb1/1757-7241-21-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6249/3560235/c87f5b3a270c/1757-7241-21-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6249/3560235/ff3410bcbfb1/1757-7241-21-4-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6249/3560235/c87f5b3a270c/1757-7241-21-4-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6249/3560235/ff3410bcbfb1/1757-7241-21-4-2.jpg

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本文引用的文献

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Pre-hospital treatment of stroke--time is brain.中风的院前治疗——时间就是大脑。
Tidsskr Nor Laegeforen. 2012 Sep 4;132(16):1848-9. doi: 10.4045/tidsskr.12.0832.
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Guidelines for field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2011.《伤员现场分类指南:国家现场分类专家小组 2011 年的建议》。
MMWR Recomm Rep. 2012 Jan 13;61(RR-1):1-20.
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Elderly deaths due to ground-level falls.因地面跌倒导致的老年人死亡。
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Incidence and predictors of intracranial hemorrhage after minor head trauma in patients taking anticoagulant and antiplatelet medication.服用抗凝和抗血小板药物的患者轻度头部创伤后颅内出血的发生率及预测因素。
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8
'Normal' vital signs belie occult hypoperfusion in geriatric trauma patients.“正常”生命体征掩盖了老年创伤患者的隐匿性低灌注。
Am Surg. 2010 Jan;76(1):65-9.
9
Severe and multiple trauma in older patients; incidence and mortality.老年患者的严重多发伤;发生率和死亡率。
Injury. 2009 Apr;40(4):362-7. doi: 10.1016/j.injury.2008.10.016. Epub 2009 Feb 12.
10
Guidelines for field triage of injured patients. Recommendations of the National Expert Panel on Field Triage.受伤患者现场分诊指南。国家现场分诊专家小组的建议。
MMWR Recomm Rep. 2009 Jan 23;58(RR-1):1-35.