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老年评估在住院部门:巴伐利亚老年医学数据库 20 年的质量保证。

Geriatric assessment in the inpatient sector : 20 years quality assurance of the Geriatrics in Bavaria Database.

机构信息

Geriatrics Center Erlangen, Malteser Waldkrankenhaus St. Marien, Rathsberger Str. 57, 91054, Erlangen, Germany.

Praxis Geriatrie und Innere Medizin, Würzburg, Germany.

出版信息

Z Gerontol Geriatr. 2022 Jul;55(4):325-330. doi: 10.1007/s00391-021-02004-4. Epub 2022 Jan 7.

DOI:10.1007/s00391-021-02004-4
PMID:34994852
Abstract

BACKGROUND

Geriatric assessment is an integral part of geriatrics and leads to various improvements in the treatment of geriatric patients.

MATERIAL AND METHODS

Analysis of assessment data and patient characteristics in a large inpatient geriatric patient population. Evaluation of data from the Geriatrics in Bavaria Database (GiB-DAT) over 20 years as well as a cross-sectional study from 2020. Presentation of data for patients in inpatient acute geriatrics as well as continuing geriatric rehabilitation.

RESULTS

The number of patient records and participating hospitals has steadily increased for both inpatient care types to 821,913 (status 31 March 2021). The Barthel index and other assessment results show differentiated values between acute geriatrics and continuing geriatric rehabilitation.

CONCLUSION

The results demonstrate the differences in patient outcomes between the two types of care as well as changes in the setting over time. The constancy of the applied assessment instruments contributes to the comparability of the different hospitals; however, it is necessary to introduce new and alternative assessment instruments and to further develop inpatient geriatrics.

摘要

背景

老年评估是老年医学的一个组成部分,可导致老年患者治疗的各种改善。

材料与方法

对大型住院老年患者人群的评估数据和患者特征进行分析。对巴伐利亚老年医学数据库(GiB-DAT)超过 20 年的数据进行评估以及 2020 年的横断面研究。介绍住院急性老年医学和持续老年康复患者的数据。

结果

两种住院治疗类型的患者记录和参与医院的数量都稳步增加,达到 821913 例(截至 2021 年 3 月 31 日)。巴氏指数和其他评估结果显示急性老年医学和持续老年康复之间存在差异。

结论

这些结果表明两种护理类型之间患者结局的差异以及随时间的变化。所应用的评估工具的恒定性有助于不同医院之间的可比性;然而,有必要引入新的和替代的评估工具,并进一步发展住院老年医学。

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Geriatric assessment in the inpatient sector : 20 years quality assurance of the Geriatrics in Bavaria Database.老年评估在住院部门:巴伐利亚老年医学数据库 20 年的质量保证。
Z Gerontol Geriatr. 2022 Jul;55(4):325-330. doi: 10.1007/s00391-021-02004-4. Epub 2022 Jan 7.
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本文引用的文献

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FUNCTIONAL EVALUATION: THE BARTHEL INDEX.功能评估:巴氏指数
Md State Med J. 1965 Feb;14:61-5.