瑞士的息护理住院患者 (2012-2021):特征,住院死亡率和可避免的入院
Benjamin Hurni1, Beat Müller2, Balthasar L Hug3,4
1Center for Primary and Community Care, University of Lucerne, Luzern, Switzerland benjamin.hurni@outlook.com.
BMJ supportive & palliative care
|May 20, 2024
概括
许多住院的息治疗患者可以在家接受护理. 五分之一的住院治疗和超过一半的死亡是可以避免的,这凸显了需要更好的息护理服务.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 老年医学 老年医学
背景情况:
- 息治疗患者往往更喜欢在家进行护理.
- 侵袭性治疗使患者和医疗保健系统承受压力,降低生活质量并增加成本.
研究的目的:
- 在全国范围内对息性住院患者的特征.
- 量化住院死亡率.
- 确定息治疗中可能可以避免的住院住院情况.
主要方法:
- 一个国家住院患者队列 (2012-2021) 的回顾性分析.
- 数据包括人口统计,诊断,并发病,治疗和结果.
- 内容专家确定了不需要住院治疗的方法.
主要成果:
- 分析了120396例息性住院病例;69%的住院病例来自家庭.
- 平均逗留时间为12天;21%的治疗可以在家进行.
- 54%的人在医院死亡;其中10%的死亡发生在24小时内.
结论:
- 三分之二的息性住院患者年龄在65岁以上.
- 根据治疗类型,大约20%的住院可能是可以避免的.
- 超过一半的息治疗患者在住院期间死亡,其中很大一部分在入院后不久死亡.
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