脑卒中后从社区到永久住院老年护理过渡的相关因素:一项链接注册数据研究
Sarah E Westworth1, David Ung1,2, Lachlan L Dalli3
1Department of Medicine, Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Victoria, Australia (S.E.W., D.U., R.B., V.S., M.E.L.).
Stroke
|November 13, 2023
概括
尿路感染,痴呆症和年龄较大增加了中风后过渡到老年护理的风险. 管理这些情况和中风严重程度可能有助于个人在家生活更长时间.
科学领域:
- 老年学是一门学科.
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 在社区生活的65岁以上的中风幸存者面临着向永久性住院老年护理的过渡.
- 了解影响这种过渡的因素对于制定延长独立生活的支持策略至关重要.
研究的目的:
- 确定与过渡到永久住院护理相关的人口,临床和系统因素,中风或过渡性缺血性发作后6-18个月.
- 为策略提供信息,旨在使中风幸存者能够在家中停留更长时间.
主要方法:
- 澳大利亚成年人 (≥65岁) 被诊断患有中风/过渡性缺血性发作 (2012-2016) 的相关数据队列分析.
- 数据链接包括初级保健,制药,老年护理,死亡和医院记录.
- 用死亡作为竞争风险的多变量生存分析来确定影响因素.
主要成果:
- 在11,176名参与者中,5%的参与者在退院后6-18个月内转移到住院护理.
- 风险因素包括尿路感染,痴呆症,年龄较大,地区生活和先前的老年护理批准 (respite,高级家庭支持).
- 保护因素包括抗高血压药物,心脏病随访和不太严重的中风.
结论:
- 人口,临床和系统因素显著影响中风后转向永久住院老年护理.
- 结果可以指导干预措施,以支持中风幸存者的社区生活,并可能推迟住院护理安置.
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