认知筛查在截肢患者中的应用：一项回顾性病历审核。
Cognitive screening in persons with an amputation: A retrospective medical record audit.
机构信息
School of Nursing, University of Wollongong, Wollongong, Australia.
Illawarra Shoalhaven Local Health District, Port Kembla Hospital, Warrawong, Australia.
出版信息
Prosthet Orthot Int. 2022 Oct 1;46(5):500-504. doi: 10.1097/PXR.0000000000000169. Epub 2022 Aug 26.
OBJECTIVE
To determine the rate of cognitive screening undertaken with patients undergoing amputation and to determine the demographics of the sample.
STUDY DESIGN
Retrospective medical record audit.
METHODS
The medical records of a convenience sample of persons who had undergone amputation, upper and lower limb, from one local health district were reviewed. The sample date range was between January 1st, 2017, and December 31st, 2018. The incidence and type of cognitive screening were also recorded. Descriptive statistics were used to describe the results.
RESULTS
A total of 178 episodes of amputation care were identified during retrospective medical record auditing (mean age, 69.7 years). Thirty nine of the 178 (21.9%) episodes of care had a cognitive screening measure completed during that inpatient admission (24.2% vascular etiology and 12% nonvascular etiology). All cognitive screens were completed in persons with lower-limb amputations and were completed postoperatively.
CONCLUSION
Cognitive screening is not a routine part of the health care journey for patients with an amputation in this health care district.
目的
确定对接受截肢手术的患者进行认知筛查的比例，并确定样本的人口统计学特征。
研究设计
回顾性病历审核。
方法
对来自一个地方卫生区的接受上肢和下肢截肢手术的患者的便利样本的病历进行了回顾。样本日期范围为 2017 年 1 月 1 日至 2018 年 12 月 31 日。还记录了认知筛查的发生率和类型。使用描述性统计来描述结果。
结果
在回顾性病历审核中，共确定了 178 例截肢护理病例（平均年龄 69.7 岁）。在这 178 例护理病例中，有 39 例（21.9%）在住院期间完成了认知筛查措施（血管病因占 24.2%，非血管病因占 12%）。所有认知筛查均在下肢截肢患者中完成，并在术后进行。
结论
在这个医疗区，认知筛查并不是接受截肢手术的患者医疗护理过程中的常规部分。
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