住院老年人的社会脆弱性和脆弱性
Jasmine C Mah1,2, Judith Godin2, Susan J Stevens3
1Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Canadian geriatrics journal : CGJ
|September 4, 2023
概括
老年人的社会脆弱性增加了住院时间和长期护理的需要,而不依赖于虚弱. 这凸显了对社会脆弱性的查的重要性,以改善医院资源分配.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 社会脆弱性,定义为累积的社会劣势,与健康状况不佳有关.
- 之前关于社会脆弱性的研究在很大程度上排除了脆弱的住院患者.
- 这项研究调查了社会脆弱性对老年人医院治疗结果的影响.
研究的目的:
- 检查社会脆弱性如何影响老年患者的医院结果和资源利用情况.
- 为了评估社会脆弱性和逗留时间之间的关联,扩大了LOS,ALC,死亡率和退院到LTC.
主要方法:
- 分析了从2009年到2020年通过急诊室入院的1,146名65岁以上的患者.
- 使用赤字累积计算20项社会脆弱性指数 (SVI) 和57项脆弱性指数 (FI) 的计算.
- 测量结果包括停留时间 (LOS),延长的LOS,替代护理水平 (ALC),住院死亡率和退院到长期护理 (LTC).
主要成果:
- 增加的社会脆弱性指数 (SVI) 分数与更长的住院时间 (LOS) 相相关 (1.15天每0.1个SVI单位增加).
- 社会脆弱性与延长的LOS (aOR 1.19) 和替代级别的护理 (ALC) 状态 (aOR 1.39) 有关.
- 社会脆弱性与退院到长期护理 (LTC) (aOR 1.03) 有关,但与住院死亡率无关.
结论:
- 在老年人中,社会脆弱性独立地预测了长时间住院,ALC指标和LTC出院.
- 调查结果强调,在医院护理规划和资源分配中需要考虑社会脆弱性.
- 对社会脆弱性的查可以为缓解不良医院结果和长期护理需求的干预提供信息.
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