老年创伤患者的循证护理

Evidence-Based Care of Geriatric Trauma Patients.

作者信息

Brooks Steven E, Peetz Allan B

机构信息

Geriatric Trauma Unit, Division of Trauma, Surgical Critical Care, Acute Care Surgery, Department of Surgery, John A. Griswold Trauma Center, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430, USA; Pediatric Intensive Care Unit, Division of Trauma, Surgical Critical Care, Acute Care Surgery, Department of Surgery, John A. Griswold Trauma Center, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430, USA.

Emergency General Surgery, Division of Trauma, Surgical Critical Care, Vanderbilt University Medical Center, Medical Arts Building Suite 404, 1211 21st Avenue South, Nashville, TN 37212, USA.

出版信息

Surg Clin North Am. 2017 Oct;97(5):1157-1174. doi: 10.1016/j.suc.2017.06.006.

DOI:10.1016/j.suc.2017.06.006

PMID:28958363

Abstract

The doubling of the geriatric population over the next 20 years will challenge the existing health care system. Optimal care of geriatric trauma patients will be of paramount importance to the health care discussion in America. These patients warrant special consideration because of altered anatomy, physiology, and the resultant decreased ability to tolerate the stresses imposed by traumatic insult. Despite increased risk for worsened outcomes, nearly half of all geriatric trauma patients will be cared for at nondesignated trauma centers. Effective communication is crucial in determining goals of care and arriving at what patients would consider a meaningful outcome.

摘要

在未来20年里，老年人口数量将翻倍，这将对现有的医疗保健系统构成挑战。老年创伤患者的最佳护理对于美国的医疗保健讨论至关重要。由于解剖结构和生理机能的改变，以及由此导致的承受创伤性损伤所带来压力的能力下降，这些患者需要特别关注。尽管预后恶化的风险增加，但几乎一半的老年创伤患者将在非指定的创伤中心接受治疗。有效的沟通对于确定护理目标以及达成患者认为有意义的结果至关重要。