Division of Trauma, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.
Department of Surgery, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY, 11554, USA.
Aging Clin Exp Res. 2019 Dec;31(12):1743-1753. doi: 10.1007/s40520-019-01119-4. Epub 2019 Jan 30.
A performance improved project identified elderly trauma patients to have a disproportionate incidence of complications.
The purpose of this study was to assess the efficacy of a small specialty care unit to decrease complications in patients who no longer warrant care in an intensive care unit (ICU).
A surgical post-acute treatment unit (SPA) was developed with focused attention to cognition, nutrition, respiration, and mobilization needs of patients who no longer had physiologic need for an intensive care unit environment, but were still in need of increased attention at the bedside.
While ICU and hospital lengths of stay were unchanged, patients placed in the SPA experienced less complications and required less unplanned ICU re-admissions.
Geriatric patients, especially the elderly, are not simply old adults. They have unique needs as a consequence of the aging process, which can be encompassed by four pillars of intercession: cognition, nutrition, respiration, and mobilization.
By adapting a physical environment supported by bedside attention to address the interwoven needs of geriatric and elderly patients who no longer care in an ICU, complications and unplanned return admissions to the ICU can be decreased.
III.
一个表现改善项目确定了创伤老年患者并发症的发生率不成比例。
本研究的目的是评估一个小型专科护理单元的疗效，以减少不再需要重症监护病房（ICU）护理的患者的并发症。
建立了一个外科后急性治疗病房（SPA），重点关注认知、营养、呼吸和需要增加床边关注但不再需要 ICU 环境的患者的活动能力需求。
虽然 ICU 和住院时间没有变化，但在 SPA 接受治疗的患者并发症较少，不需要计划外的 ICU 再次入院。
老年患者，尤其是老年人，不仅仅是老年人。他们由于衰老过程而有独特的需求，可以通过四个干预支柱来涵盖：认知、营养、呼吸和活动能力。
通过适应一个由床边关注支持的物理环境，解决不再在 ICU 接受护理的老年和老年患者的交织需求，可以减少并发症和计划外返回 ICU 的入院率。
III。
