老年科医生主导的护理模式可降低体弱心脏病患者的再次入院率。
Geriatrician-led care model in frail cardiology patients reduces re-admissions.
作者信息
Henderson James Wm, Sweeney Mark, Dani Melanie, Levy Shuli
机构信息
Imperial College Healthcare NHS Trust, London, UK.
Imperial College Healthcare NHS Trust, London, UK and Imperial College London, London, UK.
出版信息
Future Healthc J. 2021 Jul;8(2):e299-e301. doi: 10.7861/fhj.2021-0033.
BACKGROUND
As the population admitted under cardiology is likely to become frailer, a geriatrician-led model of post-procedural care similar to that used in orthopaedic surgery may be beneficial.
METHODS
In 2016, a new geriatrician-led ward was created in Hammersmith Hospital where frail cardiology patients could be transferred post-treatment. Using diagnostic coding, patients over the age of 65 years between 01 April and the 31 August for both 2016 and 2019 were identified, and data collected retrospectively from electronic patient records. An anonymised staff survey was completed following the introduction of the new service.
RESULTS
Patients discharged from the geriatrician-led ward had fewer re-admissions than both cardiology-led wards in 2019 (chi-squared 5.46; p=0.02), and overall re-admissions in 2016 (chi-squared 4.34; p=0.037). The majority of surveyed respondents felt that this level of geriatrician input was useful.
CONCLUSION
Geriatrician-led post-procedural care in cardiology reduced 30-day re-admissions in an elderly cohort.
背景
由于心脏病科收治的患者可能会变得更加虚弱，采用类似于骨科手术中使用的由老年病医生主导的术后护理模式可能会有益。
方法
2016年，哈默史密斯医院设立了一个由老年病医生主导的新病房，虚弱的心脏病患者在治疗后可以转至该病房。利用诊断编码，确定了2016年和2019年4月1日至8月31日期间65岁以上的患者，并从电子病历中回顾性收集数据。在新服务推出后完成了一项匿名员工调查。
结果
2019年，由老年病医生主导的病房出院的患者再次入院的次数少于心脏病科主导的病房（卡方检验χ² = 5.46；p = 0.02），且总体再次入院次数低于2016年（卡方检验χ² = 4.34；p = 0.037）。大多数接受调查的受访者认为这种老年病医生的参与程度是有用的。
结论
在心脏病治疗中，由老年病医生主导的术后护理减少了老年患者队列中的30天再次入院率。
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