Hogan D B, Fox R A, Badley B W, Mann O E
CMAJ. 1987 Apr 1;136(7):713-7.
Elderly patients present particular management challenges. We conducted a randomized clinical trial of the effect of a geriatric consultation service on the management of elderly patients in an acute care hospital. A total of 113 patients aged 75 years or more who met certain criteria were assigned to either receive (57 patients) or not receive (56) care by the service. At the end of their hospital stay the patients were assessed with regard to predetermined outcomes. The patients were followed up for 1 year after discharge to determine death rates and direct health care expenditures. The intervention group showed significantly greater improvement in mental status (p less than 0.01), were receiving fewer medications at discharge (p less than 0.05) and had lower short-term death rates (p less than 0.05) than the control group. A geriatric consultation service can improve the hospital care and health of the elderly.
老年患者面临着特殊的管理挑战。我们进行了一项随机临床试验，以研究老年咨询服务对一家急症医院老年患者管理的影响。共有113名年龄在75岁及以上且符合特定标准的患者被分配接受（57例患者）或不接受（56例）该服务的护理。在住院期末，对患者的预定结局进行评估。出院后对患者进行了1年的随访，以确定死亡率和直接医疗保健支出。与对照组相比，干预组在精神状态方面有显著更大的改善（p小于0.01），出院时服用的药物更少（p小于0.05），短期死亡率更低（p小于0.05）。老年咨询服务可以改善老年人的医院护理和健康状况。
