老年综合评估在高龄老年肺部感染住院患者中的应用效果

Application effect of Comprehensive Geriatric Assessment in senile inpatients with pulmonary infection

目的探讨老年综合评估(CGA)在高龄老年肺部感染住院患者中的应用效果。方法将99例高龄肺部感染住院患者随机分为干预组(50例)和对照组(49例)。两组均采用常规治疗与护理,同时根据CGA结果对干预组存在老年综合征的患者予以干预。比较两组患者住院时间、住院费用,出院后6个月内和1年内再入院率、急诊就诊率,以及死亡情况。结果干预组住院时间、住院费用均短于或少于对照组(均P<0.05),但两组出院后6个月内和1年内再入院率、急诊就诊率差异均无统计学意义(均P>0.05)。两组均无死亡病例。结论对高龄老年肺部感染住院患者进行CGA并给予个性化的干预,可缩短患者住院时间、降低住院费用。

Objective To explore the application effect of Comprehensive Geriatric Assessment(CGA)in senile inpatients with pulmonary infection.Methods A total of 99 senile inpatients with pulmonary infection were randomly assigned to intervention group(50 cases)or control group(49 cases).Both groups were employed routine treatment and nursing;simultaneously,the patients with geriatric syndrome in the intervention group was given intervention according to the results of CGA.The length of hospital stay,hospitalization expense,and readmission rate,emergency visit rate within 6 months and 1 year after discharge,and mortality were compared between the two groups.Results The intervention group exhibited shorter length of hospital stay,and less hospitalization expense as compared with the control group(all P<0.05),but there were no statistically significant differences in the readmission rate,emerg ency visit rate within 6 months and 1 year after discharge between the two groups(all P>0.05).No death was found in both groups.Conclusion Performing CGA and giving individualized intervention to senile inpatients with pulmonary infection can shorten the length of hospital stay in patients,and reduce hospitalization expense.