老年患者住院相关性失能的识别工具

A tool for identifying hospitalization-related disability in elderly patients

早期识别具有住院相关性失能(HAD)风险的老年患者,有助于及时进行干预,从而缩短住院时间、降低医疗花费、预防并发症和避免进一步躯体功能障碍。国外学者研发了多种早期HAD识别工具,部分工具已进行了验证和推广,部分工具的应用及研发尚处于初步探索阶段。本文对HAD识别工具进行总结分析,对各种工具的适用范围、主要内容、特点、优势及缺陷、最新进展进行综述,为早期准确识别HAD高风险患者、研发适合我国老年人群的筛查工具及针对性治疗提供依据。

Early identification of older adults at high risk for hospitalization-associated disability(HAD)is crucial for implementing timely interventions that can reduce hospital stay,medical costs,complications,and prevent further physical dysfunction.Various HAD screening tools have been developed,with some already validated and used in clinical trials,while others are still in the preliminary exploration stage.This review offers an overview of HAD identification tools,summarizing their applicability,key characteristics,advantages,disadvantages,and the latest advancements.The aim of this review is to provide information that can assist in the early and accurate identification of high-risk patients with HAD,enabling the implementation of appropriate and targeted interventions for older adults in China.