WEKO3
アイテム
Evaluation of the effects of a team‐based systematic prevention and management program for postoperative orthopedic older patients: A retrospective cohort study
http://hdl.handle.net/10458/0002000986
http://hdl.handle.net/10458/0002000986fa2fd1d0-38a2-40b2-b701-1980ba8776fa
| 名前 / ファイル | ライセンス | アクション |
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| アイテムタイプ | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||||||||
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| 公開日 | 2025-03-14 | |||||||||||||||||||||||||||
| タイトル | ||||||||||||||||||||||||||||
| タイトル | Evaluation of the effects of a team‐based systematic prevention and management program for postoperative orthopedic older patients: A retrospective cohort study | |||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| 言語 | ||||||||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| キーワード | delirium | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| キーワード | older patients | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| キーワード | postorthopedic surgery | |||||||||||||||||||||||||||
| キーワード | ||||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
| キーワード | real‐world practice setting | |||||||||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||||||||
| アクセス権 | ||||||||||||||||||||||||||||
| アクセス権 | open access | |||||||||||||||||||||||||||
| 著者 |
山口, 史剛
× 山口, 史剛
WEKO
33302
× Inomata, Chie
× 吉永, 尚紀
WEKO
33887
× 澤田, 浩武
WEKO
28892
× Shimamoto, Kazuko
× 治田, 彩香 |
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| 抄録 | ||||||||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||||||||
| 内容記述 | Aim: This study aimed to evaluate a team-based systematic prevention and management program for delirium (a multicomponent intervention addressing potentially modifiable risk factors based on the DELirium Team Approach [DELTA]) in older patients undergoing orthopedic surgery within a real-world clinical setting. The DELTA program was initiated at our hospital in January 2019. Methods: A retrospective before-after study was conducted during a preintervention period (January 1, 2017 to December 31, 2018) and a postintervention period (January 1, 2020 to December 31, 2021) at orthopedic wards of an advanced acute care hospital in Japan. A total of 787 inpatients were evaluated before the preintervention period, and 833 inpatients were evaluated after the postintervention period. Results: After the DELTA program's implementation, a significant decrease in benzodiazepine receptor agonist prescriptions (odds ratio [OR], 0.39; 95% confidence interval [CI], 0.29-0.53) and an increase in prescriptions of either melatonin receptor agonists or dual orexin receptor antagonists (OR, 3.83; 95% CI, 2.49-5.88) were observed. However, no significant difference was observed in the incidence of falls, self-extubation, or required level of medical and nursing care, including risky behavior and inability to follow medical or care instructions following the intervention, despite a reduction in the length of hospital stay and institutionalization. Conclusion: Implementing the DELTA program for older patients undergoing orthopedic surgery contributed to optimizing the prescription of hypnotics; however, the impact on other patient outcomes, such as falls, self-extubation, and required level of medical and nursing care was limited. |
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| 言語 | en | |||||||||||||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||||||||||||
| 内容記述 | Citation: Yamaguchi F, Inomata C, Yoshinaga N, Sawada H, Shimamoto K, Haruta-Tsukamoto A. Evaluation of the effects of a team-based systematic prevention and management program for postoperative orthopedic older patients: A retrospective cohort study. PCN Rep. 2024 Oct 9;3(4):e70021. doi: 10.1002/pcn5.70021. PMID: 39386330; PMCID: PMC11462075. |
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| 言語 | en | |||||||||||||||||||||||||||
| bibliographic_information |
en : Psychiatry and Clinical Neurosciences Reports 巻 3, 号 4, p. e70021, 発行日 2024 |
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| 出版者 | ||||||||||||||||||||||||||||
| 出版者 | Wiley | |||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
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| 収録物識別子タイプ | ISSN | |||||||||||||||||||||||||||
| 収録物識別子 | 2769-2558 | |||||||||||||||||||||||||||
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| 関連タイプ | isVersionOf | |||||||||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||||||||
| 関連識別子 | https://doi.org/10.1002/pcn5.70021 | |||||||||||||||||||||||||||
| 権利 | ||||||||||||||||||||||||||||
| 権利情報 | © 2024 The author(s) | |||||||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||||||||||||
