首页 文献索引 SCI期刊 AI助手
登录 注册
首页 正文

Internal and emergency medicine. 2025 Apr 14. doi: 10.1007/s11739-025-03909-3 Q23.22024

Association between time to geriatric ward admission and change in functional status in older adults after an emergency department visit: a prospective cohort study

老年患者急诊就诊后至老年病科病房入住时间与其功能状态变化之间关系的前瞻性队列研究 翻译改进

Héloïse Bannelier  1  2, Lorène Zerah  3  4, Pierre Catoire  5, Justine Phagouapé  5, Salomé Guyot  5, Yonathan Freund  5  3, Alix Minaud  3  4, Jacques Boddaert  3  4, Vincent Dauny  4, Anne-Laure Philippon  5  3

作者单位 +展开

作者单位

  • 1 Emergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France. heloise.bannelier@aphp.fr.
  • 2 Sorbonne Université, IMProving Emergency Care FHU, Paris, France. heloise.bannelier@aphp.fr.
  • 3 Sorbonne Université, IMProving Emergency Care FHU, Paris, France.
  • 4 Department of Geriatric Medicine, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
  • 5 Emergency Department, Pitié Salpêtrière Hospital, 83 Boulevard de L'Hôpital, 75013, Paris, France.
  • DOI: 10.1007/s11739-025-03909-3 PMID: 40229528

    摘要 中英对照阅读

    The impact of total time from emergency department (ED) admission to geriatric ward admission in older patients remains unknown. The objective of the study was to assess the association between time to geriatric ward admission on 6-month mortality and functional decline in older adults. A prospective, single-center cohort study was conducted including patients 75 years or older admitted to an acute-care geriatric unit following an ED visit in 2023 with a 6-month follow-up. Functional decline was defined as a decrease of at least 1 point in the Activities of Daily Living (ADL) scale between admission and 6 months. The primary end point was a composite of 6-month mortality and functional decline. Association between quartiles of time to geriatric ward admission and the primary end point was analyzed using multivariable logistic regression. Among the 360 included patients (median age 86, median time to geriatric ward admission 32.2 h), 198 (55%) experienced the composite outcome (31% death and 24% functional decline): 42%, 47%, 60%, and 71% in the first to last quartile, respectively. Compared to the first quartile, there was an independent association between time to geriatric ward admission and the primary outcome with an adjusted odds ratios of 1.4 (95% CI 0.8-2.7), 2.3 (95% CI 1.2-4.3), and 3.4 (95% CI 1.8-6.6) for the second, third, and fourth quartiles, respectively. Prolonged time to geriatric ward admission following ED consultation is associated with a higher risk of 6-month mortality and functional decline in older adults.Trial registration 2023-A02753-42 (CPP Sud-Est V approval).

    Keywords: Activities of daily living; Emergency medicine; Frailty; Functional decline; Geriatrics; Mortality.

    Keywords:functional status; older adults; emergency department visit

    老年人从急诊科(ED)入院到老年病病房入院的总时间对其影响尚不清楚。本研究的目的是评估老年患者从急诊科入院到老年病病房入院的时间与6个月死亡率和功能下降之间的关联。该研究是一项前瞻性、单中心队列研究,纳入了2023年因急诊就诊后被收入急性护理老年病房的75岁及以上患者,并进行了为期6个月的随访。功能下降定义为在入院至6个月内活动能力量表(ADL)评分减少至少1分。主要终点是6个月死亡率和功能下降的综合结局。使用多变量逻辑回归分析不同时间四分位数与主要终点之间的关联。在纳入的360名患者中(中位年龄86岁,从急诊入院到老年病房入院的中位时间为32.2小时),有198名(55%)经历了综合结局(其中31%死亡,24%功能下降):第一至第四四分位数分别为42%,47%,60%和71%。与第一四分位数组相比,第二、第三和第四四分位数的调整优势比分别为1.4(95% CI 0.8-2.7),2.3(95% CI 1.2-4.3)和3.4(95% CI 1.8-6.6)。延长从急诊科咨询到老年病房入院的时间与老年人6个月死亡率和功能下降的风险增加相关。临床试验注册号:2023-A02753-42 (CPP Sud-Est V 批准)。

    关键词:日常生活活动;急诊医学;脆弱性;功能减退;老年病学;死亡率。

    © 2025. 作者,根据与意大利内科医学会(SIMI)的独家许可协议。

    关键词:老年患者入院时间; 功能状态; 老年人; 急诊就诊

    翻译效果不满意? 用Ai改进或 寻求AI助手帮助 ,对摘要进行重点提炼
    Copyright © Internal and emergency medicine. 中文内容为AI机器翻译,仅供参考!

    相关内容

    期刊名:Internal and emergency medicine

    缩写:INTERN EMERG MED

    ISSN:1828-0447

    e-ISSN:1970-9366

    IF/分区:3.2/Q2

    文章目录 更多期刊信息

    全文链接
    引文链接
    复制
    已复制!
    推荐内容
    Association between time to geriatric ward admission and change in functional status in older adults after an emergency department visit: a prospective cohort study