原创力文档a prospective study of symptoms, function, and medication use during acute illness in nursing home residents design, rationale and cohort description症状的前瞻性研究,功能,在急性疾病药物的使用在养老院居民设计、基本原理和队列描述.pdfVIP
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a prospective study of symptoms, function, and medication use during acute illness in nursing home residents design, rationale and cohort description症状的前瞻性研究,功能,在急性疾病药物的使用在养老院居民设计、基本原理和队列描述
Hung et al. BMC Geriatrics 2010, 10:47
/1471-2318/10/47
RESEARCH ARTICLE Open Access
A prospective study of symptoms, function,
and medication use during acute illness
in nursing home residents: design, rationale
and cohort description
1,2* 3 1,2,4
William W Hung , Sophia Liu , Kenneth S Boockvar
Abstract
Background: Nursing home residents are at high risk for developing acute illnesses. Compared with
community dwelling adults, nursing home residents are often more frail, prone to multiple medical problems
and symptoms, and are at higher risk for adverse outcomes from acute illnesses. In addition, because of
polypharmacy and the high burden of chronic disease, nursing home residents are particularly vulnerable to
disruptions in transitions of care such as medication interruptions in the setting of acute illness. In order to
better estimate the effect of acute illness on nursing home residents, we have initiated a prospective cohort
which will allow us to observe patterns of acute illnesses and the consequence of acute illnesses, including
symptoms and function, among nursing home residents. We also aim to examine the patterns of medication
interruption, and identify patient, provider and environmental factors that influence continuity of medication
prescribing at different points of care transition.
Methods: This is a prospective cohort of nursing home residents residing in two nursing homes in a
metropolitan area. Baseline characteristics including age, gender, race, and comorbid conditions are recorded.
Participants are followed longitudinally for a planned period of 3 years. We record acute illness incidence and
characteristics, and measure symptoms including depression, pain, withdrawal symptoms, and function using
stan
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