急诊老年综合评估的证据总结

Evidence summary for Comprehensive Geriatric Assessment in the Emergency Department

目的:全面检索和分析急诊老年患者综合评估相关证据,并进行总结。方法:计算机检索临床决策及指南网站、专业协会网站、循证文献资源及各大文献数据库中关于急诊老年综合评估相关的指南、证据总结、最佳实践、系统评价及专家共识。进行方法学质量评价后,结合专业判断对证据进行提取与汇总。结果:本研究共纳入文献11篇,包括9篇系统评价、1篇专家共识、1篇指南。汇总了37条急诊老年综合评估证据,总结为有效性及安全性(5条)、目标人群(3条)、评估范围(12条)、评估工具(5条)、评估流程(3条)、评估团队角色定位(3条)、评估后干预措施(4条)和质量控制(2条)。结论:医护人员应重视急诊老年综合评估问题,基于实际情境选择最佳证据,以提高急诊老年综合评估的规范性及系统性,保证患者安全。

Objective:To search and analyze the evidence related to Comprehensive Geriatric Assessment in the emergency department.Methods:We searched clinical decision-making websites,guidelines,professional association websites,evidence-based literature resources,and databases for guidelines,evidence summaries,best practices,systematic reviews,and expert consensus related to Comprehensive Geriatric Assessment in the emergency department.After the methodological quality assessment,the evidence was extracted and summarized based on professional judgments.Results:A total of 11 articles were included,involving 9 systematic reviews,1 expert consensus and 1 guideline.A total of Thirty-seven pieces of evidence were obtained and summarized into eight aspects:effectiveness and safety,target population,assessment scope,assessment tools,assessment process,team role positioning,post-assessment intervention measures and quality control.Conclusion:Medical staff should pay attention to Comprehensive Geriatric Assessment in the Emergency Department and select the best evidence based on the actual situation to improve the standardization and systematization of the Comprehensive Geriatric Assessment in the Emergency Department and ensure patient safety.