医院出院后与一年死亡率相关的因素:一个多中心前性队列研究
Fabian D Liechti1, Lukas Bütikofer2, Marco Mancinetti3,4
1Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
PloS one
|August 9, 2023
概括
住院患者的一年死亡率的预测因素包括高早期简化的HOSPITAL得分和不在家生活. 在30天内重新入院的意外病例也会显著增加死亡风险.
科学领域:
- 医学研究 医学研究
- 临床结果 临床结果
- 医疗服务研究 医疗服务研究
背景情况:
- 确定住院患者死亡率的预测因素对于改善患者的治疗结果至关重要.
- 了解与一年死亡率相关的因素可以为出院后的护理策略提供信息.
研究的目的:
- 通过在住院期间可用的因素来确定一年死亡率的预测因素.
- 评估30天医疗保健系统使用与一年死亡率之间的关联.
主要方法:
- 在一般内科单位进行前性观察性研究.
- 通过电子健康记录,患者采访和电话跟踪收集的数据.
- 单变量和多变量分析使用住院和30天出院后的数据.
主要成果:
- 较高的早期简化的HOSPITAL得分和不在家生活预测了一年死亡率.
- 在30天内重新入院的非计划性住院与一年死亡率有显著的相关性 (OR 4.81).
结论:
- 早期简化的HOSPITAL得分,生活状况和30天再入院是一年死亡率的关键预测因素.
- 退院后利用医疗保健,特别是再接收,是长期存活的关键因素.
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