推迟出院后的短期死亡率和息护理使用:基于人口的回顾性队列研究
Aaron Jones1,2, Lauren Lapointe-Shaw2,3,4,5, Kevin Brown2,6,7
1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada jonesa13@mcmaster.ca.
BMJ supportive & palliative care
|January 9, 2024
概括
在等待出院的患者中,近五分之一的患者在90天内死亡. 大多数死亡发生在医院,这凸显了对这一弱势群体进行息治疗的必要性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 替代护理水平 (ALC) 患者是那些在急性医疗问题得到解决后等待出院的患者.
- 了解ALC患者的结果对于医疗保健系统效率和患者福祉至关重要.
研究的目的:
- 调查加拿大安大略省ALC患者的短期死亡率.
- 检查ALC指定后的息护理服务的使用情况.
主要方法:
- 在安大略省 (2021) 成人急性护理入院的基于人口的回顾性队列研究.
- 在ALC指定或死亡后90天的随访.
- 通过医生计费和住院/家庭护理记录来衡量息护理的使用情况.
主要成果:
- 包括54,839名ALC患者;中位数年龄80岁.
- 18.4%的人在90天内死亡;那些死亡的人年龄较大,患有更多的并发病,而且更有可能是男性.
- 在那些死亡的人中,35.1%从未离开医院,20.3%在出院后死亡;68.1%接受了息治疗.
结论:
- 相当一部分的ALC患者在被指定后三个月内死亡.
- 大多数死亡发生在医院,这表明在护理过渡或出院计划方面存在潜在的差距.
- 需要进行进一步的研究,以评估ALC患者的息护理的充分性.
相关概念视频
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Planning Nursing Care I
4.5K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.5K
Discharge Summary Forms
757
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
757
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Documentation in Long-Term and Home Healthcare Setting
892
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
892


