在单级跌倒后住院和再入院:基于人口的样本样本
Alan Cook1, Rebecca Swindall2, Katherine Spencer3
1Trauma Services, UT Health East Texas, 1020 E. Idel St., Tyler, TX, 75701, USA.
Injury epidemiology
|October 20, 2023
概括
在老年人中,单级下降导致昂贵的再接收. 大脑和血管损伤,以及转移到短期医院预测再入院,而息治疗可能会减少它.
科学领域:
- 老年学是指老年学的学科.
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 单层跌倒 (SLF) 是老年人住院的原因越来越多.
- 无计划的再入院是护理质量的标志,也是医疗保健的重大负担.
研究的目的:
- 确定65岁及以上患者因单级跌伤住院后30天再入院的预测因素.
主要方法:
- 使用2018-2019年全国再接收数据库进行回顾性队列研究.
- 包括65岁以上因SLF损伤紧急入院的患者.
- 层次逻辑回归分析了与30天再入院相关的因素.
主要成果:
- 超过11%的SLF患者在30天内重新入院.
- 转移到短期医院,脑损伤和血管损伤独立预测重新入院 (ORs 2.50, 1.31, 1.42).
- 息护理咨询具有保护性 (OR 0.41);高收入和非城市环境显示出适度的保护作用.
结论:
- 单层跌倒给患者和医疗保健系统带来了巨大的成本.
- 为转移到短期医院和解决大脑/血管损伤制定缓解策略至关重要.
- 扩大息护理咨询可能会减少再入院.
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