在社区居住的成年人中,意外入院的预测因素:动态队列研究
Julie Hias1, Laura Hellemans2, Shauni Nuyts3
1Pharmacy Department, University Hospitals Leuven, Leuven, Belgium; Department of Pharmaceutical and Pharmacological Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
过度的多药店和先前的医院访问是成年人意外入院的关键风险因素. 识别这些因素可以帮助针对性干预减少住院治疗.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 临床药房 临床药房
背景情况:
- 多药和不适当的药物使用增加了计划外的入院.
- 有针对性的干预措施可能会降低住院风险,但最佳患者概况尚不清楚.
研究的目的:
- 确定社区成年人非计划性住院的独立风险因素.
- 确定多药店作为危险因素的作用.
主要方法:
- 使用比利时一般做法和保险数据 (2013-2015) 的回顾性研究.
- 包括40岁以上的社区成年人.
- 后勤回归模型确定了计划外入院的决定因素.
主要成果:
- 包括超过4万名患者;5.26%的患者有计划外入院.
- 关键决定因素:过度多药,年龄较大,男性性别,并发症,特定药物 (催眠药,抗精神病药等). ),以及之前的医疗保健使用情况.
- 之前的医院访问是最强的预测因素.
结论:
- 确认了非计划性入院的已知决定因素,与老年病人的个人资料保持一致.
- 调查结果可以指导对减少住院治疗的干预措施的分配.
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