一项针对转介至综合医院联络精神科服务的痴呆症患者的为期12个月的随访研究。
A 12-month follow-up study of people with dementia referred to general hospital liaison psychiatry services.
作者信息
Sheehan Bart, Lall Ranjit, Gage Heather, Holland Caroline, Katz Jeanne, Mitchell Kate
机构信息
John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK.
出版信息
Age Ageing. 2013 Nov;42(6):786-90. doi: 10.1093/ageing/aft139.
BACKGROUND
new services for patients with dementia in general hospitals are being widely developed. Little is known of outcomes after hospital for such patients.
OBJECTIVE
to establish outcomes for patients with dementia referred to general hospital psychiatric services.
DESIGN
prospective cohort study.
SETTING
two UK general hospitals.
SUBJECTS
referrals with dementia to liaison psychiatric services.
METHOD
eligible referrals (n = 112), and their carers, were assessed during admission, and at 6 and 12 months, using battery of health measurements.
RESULTS
mortality at 6 months was 31% and at 12 months 40%. At baseline, 13% lived in a care home, rising to 84% by 6 months. Quality of life scores remained stable over 12 months, while carer stress fell significantly. Baseline clinical and demographic variables did not predict quality of life or carer stress at 6 and 12 months.
CONCLUSIONS
dementia liaison services in general hospitals currently focus on poor outcome cases.
背景
综合医院针对痴呆患者的新服务正在广泛开展。对于此类患者出院后的情况知之甚少。
目的
确定转至综合医院精神科服务的痴呆患者的预后情况。
设计
前瞻性队列研究。
地点
英国两家综合医院。
研究对象
转诊至联络精神科服务的痴呆患者。
方法
符合条件的转诊患者（n = 112）及其照料者在入院时、6个月和12个月时接受一系列健康测量评估。
结果
6个月时死亡率为31%，12个月时为40%。基线时，13%的患者住在养老院，到6个月时升至84%。生活质量评分在12个月内保持稳定，而照料者的压力显著下降。基线临床和人口统计学变量无法预测6个月和12个月时的生活质量或照料者压力。
结论
综合医院的痴呆联络服务目前主要关注预后较差的病例。
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