患者特征与老年康复计划外或延迟出院之间的关联:回顾性图表审查
Andrew J Perrella1, Arian Karimi, Christina Reppas-Rindlisbacher
1From the Division of Geriatric Medicine, Department of Medicine, McMaster University, Hamilton, Canada (AJP, JL, CP); Department of Medicine, University of Illinois Chicago, Chicago, Illinois (AK); Division of Geriatric Medicine, Department of Medicine, University of Toronto, Toronto, Canada (CR-R, EW); Division of Geriatrics and Internal Medicine, Sinai Health, Toronto, Canada (CR-R); and Division of Geriatric Medicine, Unity Health, Toronto, Canada (EW).
需要帮助日常活动的老年人,患有慢性肺炎或低白蛋白,更有可能从老年康复中意外出院. 年龄和并发症并不能预测回家.
科学领域:
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于老年人来说,成功的康复往往意味着回家.
- 影响从老年康复中意外出院的因素尚未完全理解.
研究的目的:
- 为了确定与老年康复计划外出相关的患者特征.
- 为优化排放规划和康复准入的战略提供信息.
主要方法:
- 在老年康复病房的65岁以上患者的回顾性图表审查.
- 对患者人口统计,诊断,功能状态和出院目的地的分析.
- 统计分析使用皮尔森基平方和单变量逻辑回归.
主要成果:
- 10%的患者经历了未计划的出院.
- 帮助日常生活活动 (OR 2.80),COPD诊断 (OR 4.04) 和低血清白蛋白 (OR 1.67) 与计划外泄有关.
- 年龄,认知分数,妄想和并发症并不是意外出院的重要预测因素.
结论:
- 具体的临床因素,而不是虚弱的一般指标,预测在老年康复计划外放.
- 获得老年康复治疗的机会不应该仅仅受到年龄或并发症等因素的限制.
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