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谵妄:改善老年人急性护理的框架。

Delirium-A Framework to Improve Acute Care for Older Persons.

机构信息

Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.

Aging Brain Center, Institute for Aging Research, Hebrew SeniorLife, Boston, Massachusetts.

出版信息

J Am Geriatr Soc. 2018 Mar;66(3):446-451. doi: 10.1111/jgs.15296. Epub 2018 Feb 23.

DOI:10.1111/jgs.15296
PMID:29473940
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5849572/
Abstract

This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr. Lawton, I am working to apply my work to the policy arena. As the population ages, we face an unprecedented opportunity to realize the full benefit of aging in our society, an untapped resource. The field of aging is facing innumerable challenges in terms of continued stigma and funding shortfalls for clinical care and research. I issue a call to action to clinicians, researchers, and leaders in aging to seize this opportunity to use our know-how and expertise to transform the experience of aging for all.

摘要

这篇文章基于我在 2016 年美国老年学学会年会上发表的 M. Powell Lawton 奖演讲。我概述了我在老年医学和谵妄研究方面的历程。我创建了新的措施,包括谵妄评估方法,用于识别谵妄;概念化了多因素风险模型;并制定和测试了谵妄预防的干预策略。医院老年生活项目由此产生。此外,像 Lawton 博士一样,我也在努力将我的工作应用于政策领域。随着人口老龄化,我们面临着一个前所未有的机会,可以在我们的社会中实现老龄化的全部好处,这是一个未开发的资源。在老龄化领域,临床护理和研究的持续污名化以及资金短缺方面面临着无数挑战。我呼吁临床医生、研究人员和老龄化领域的领导者抓住这一机会,利用我们的知识和专业技能,为所有人改变老龄化的体验。

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Delirium Severity Post-Surgery and its Relationship with Long-Term Cognitive Decline in a Cohort of Patients without Dementia.术后谵妄严重程度及其与无痴呆患者队列中长期认知衰退的关系。
J Alzheimers Dis. 2018;61(1):347-358. doi: 10.3233/JAD-170288.
2
Prediction of Long-term Cognitive Decline Following Postoperative Delirium in Older Adults.老年人术后谵妄后长期认知功能下降的预测
J Gerontol A Biol Sci Med Sci. 2017 Nov 9;72(12):1697-1702. doi: 10.1093/gerona/glx030.
3
Pathway from Delirium to Death: Potential In-Hospital Mediators of Excess Mortality.
Assessment of level of knowledge, attitude, and associated factors toward delirium among health professionals working in intensive care unit multicenter, cross-sectional study, Amhara region comprehensive specialized hospitals, Northwest Ethiopia, 2023.评估在 ICU 工作的医护人员对谵妄的知识、态度及其相关因素水平:横断面研究,埃塞俄比亚西北阿姆哈拉地区综合专科医院,2023 年。
Front Public Health. 2024 Mar 6;12:1338760. doi: 10.3389/fpubh.2024.1338760. eCollection 2024.
4
Investigating nurses' knowledge and attitudes about delirium in older persons: a cross-sectional study.调查护士对老年人谵妄的认知与态度:一项横断面研究。
BMC Nurs. 2023 Jan 11;22(1):10. doi: 10.1186/s12912-022-01158-9.
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Clinically Interpretable Machine Learning Models for Early Prediction of Mortality in Older Patients with Multiple Organ Dysfunction Syndrome: An International Multicenter Retrospective Study.临床可解释的机器学习模型用于预测多器官功能障碍综合征老年患者的早期死亡率:一项国际多中心回顾性研究。
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