老年人群中医院后的下降:风险和医疗保健负担的时间模式
Xing Xing Qian1, Pui Hing Chau1, Daniel Y T Fong1
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
Journal of the American Medical Directors Association
|August 17, 2023
概括
老年人在医院出院后9周内面临高风险的跌倒,特别是在前3周. 这项研究强调了与这些跌倒相关的大量医疗保健成本,强调了有针对性的预防策略的必要性.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 老年人住院后的跌倒是医疗保健利用率和成本的主要原因.
- 免责释放后下降的时间风险及其相关的经济负担仍未得到充分研究.
研究的目的:
- 调查医院出院后老年人中跌倒发生率和医疗负担的时间模式.
- 分析医院后倒的时间和成本影响.
主要方法:
- 这是一项对2007-2017年期间从医院出院的65岁以上香港成年人的回顾性队列研究.
- 12个月的随访追踪与落相关的住院,事故和急诊 (AED) 访问,以及死亡率.
- 分析跌倒发病率,医疗保健利用率和相关成本.
主要成果:
- 在606,392名老年人中,近5%的人在出院后12个月内跌倒,总共有33,158次跌倒.
- 跌倒发生率在出院后的前3周内达到顶峰,在第9周稳定下来.
- 每年的医疗保健费用超过了2890万美元,每例和每例费用高.
结论:
- 由于医疗保健利用率很高,医院后的跌倒代表着相当大的经济负担.
- 老年人在出院后的最初9周内跌倒的风险最高.
- 预防摔倒的资源分配应该优先考虑这个关键的早期时期.
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