为居住在养老院服务中的老年人开发一种用于识别 COVID-19 感染的临床筛查工具。
Developing a clinical screening tool for identifying COVID-19 infection in older people dwelling in residential aged care services.
机构信息
Department of Forensic Medicine, Monash University, Victorian Institute Forensic Medicine, Southbank, Victoria, Australia.
Centres of Clinical Excellence: Older People, Safer Care Victoria, Melbourne, Victoria, Australia.
出版信息
Australas J Ageing. 2021 Mar;40(1):48-57. doi: 10.1111/ajag.12884. Epub 2020 Nov 13.
OBJECTIVE
To develop and conduct preliminary feasibility testing of a clinical screening instrument for early identification of COVID-19 infection in older people residing in residential aged care services (RACS).
METHODS
A qualitative study was conducted using a multi-modal approach involving examination of existing literature and national guidelines for COVID-19 clinical screening, formulation of a discussion document with peer review and feasibility testing of a prototype screening tool.
RESULTS
Existing COVID-19 clinical screening tools do not consider age-related impacts on clinical presentation. The qualitative analysis identified the important clinical elements to include were a lower threshold for temperature, occurrence of a recent fall and change in functional status. The new elements also had to be simple and feasible to implement. Overall feedback was positive with all participants recommending the use of the new tool.
CONCLUSION
A new screening tool for RACS residents was developed addressing the pathophysiological changes with ageing and atypical features of COVID-19 infection.
目的
开发并初步测试一种临床筛查工具，以早期识别居住在养老院服务（RACS）中的老年人的 COVID-19 感染。
方法
采用多模式方法进行定性研究，包括检查 COVID-19 临床筛查的现有文献和国家指南，制定讨论文件并进行同行评审，以及对原型筛查工具进行可行性测试。
结果
现有的 COVID-19 临床筛查工具没有考虑到年龄相关的临床表现影响。定性分析确定了需要包括的重要临床要素是体温阈值降低、近期跌倒和功能状态变化。新要素也必须简单可行。总体反馈是积极的，所有参与者都建议使用新工具。
结论
开发了一种新的 RACS 居民筛查工具，针对衰老的病理生理变化和 COVID-19 感染的非典型特征。
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