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目的通过病例回顾了解老年患者多学科联合会诊特点,为老年患者进一步多学科综合诊疗提供依据。方法收集某三甲医院2015年-2016年老年患者多学科联合会诊资料,统计分析老年患者多学科会诊特点。结果全院老年患者多学科联合会诊例数为130例,占全院多学科会诊量的48.88%。共有640科次参与会诊。疑难危重会诊62例(包括术后患者22例),术前讨论50例。申请会诊科室次数最多的为骨科。应邀参加会诊次数最多的科室为心脏科。结论老年患者多学科联合会诊比例高,以围术期患者会诊为主。多学科联合会诊为进一步加强老年患者围术期管理提供支持,有利于医疗质量的提高。
Objective To review the characteristics of multidisciplinary consultation among elderly patients through case review and provide evidence for further multidisciplinary diagnosis and treatment in elderly patients. Methods The data of multidisciplinary consultation of senile patients from 2015 to 2016 in a top three hospital were collected, and the characteristics of multidisciplinary consultation among senile patients were statistically analyzed. Results There were 130 cases of multidisciplinary federation of elderly patients in the hospital, accounting for 48.88% of the multidisciplinary consultations in the hospital. A total of 640 subjects attended the consultation. Difficult and critical consultation 62 cases (including 22 cases of postoperative patients), preoperative discussion of 50 cases. The number of applications for consultation departments most orthopedic. The departments that were invited to attend the most consultations were Cardiology. Conclusion The proportion of elderly patients with multidisciplinary joint consultation is high, with the perioperative consultation of patients mainly. The multidisciplinary joint consultation provides support for further perioperative management of elderly patients and is conducive to improving the quality of medical care.