Emergency Department, University Hospital Basel, University of Basel, Petersgraben 2, Basel CH-4031, Switzerland.
Department of Emergency Medicine, Odense University Hospital, University of Southern Denmark, Denmark.
Clin Geriatr Med. 2023 Nov;39(4):475-489. doi: 10.1016/j.cger.2023.05.004. Epub 2023 Jun 14.
Older patients are more vulnerable to acute illness or injury because of reduced physiologic reserve associated with aging. Therefore, their assessment in the emergency department (ED) should include not only vital signs and their baseline values but also changes that reflect physiologic reserve, such as mobility, mental status, and frailty. Combining aggregated vitals sign scores and frailty might improve risk stratification in the ED. Implementing these changes in ED assessment may require the introduction of senior-friendly processes to ensure ED treatment is appropriate to the older patients' immediate discomfort, personal goals, and likely prognosis.
老年人由于与衰老相关的生理储备减少，更容易受到急性疾病或损伤的影响。因此，他们在急诊科（ED）的评估不仅应包括生命体征及其基础值，还应包括反映生理储备的变化，如移动能力、精神状态和虚弱程度。将汇总的生命体征评分和虚弱程度相结合，可能会提高 ED 中的风险分层。在 ED 评估中实施这些变化可能需要引入适合老年人的流程，以确保 ED 治疗符合老年患者的即时不适、个人目标和可能的预后。
