出院到熟练护理机构是重新入院的风险因素:全国性倾向匹配研究
Wardah Rafaqat1, Ikemsinachi C Nzenwa1, May Abiad1
1Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
The Journal of surgical research
|June 14, 2024
概括
与家庭出院相比,将老年手术患者送往熟练护理机构 (SNF) 的出院增加了30天的再入院风险. 败血症是SNF患者的常见再入院诊断,突出显示出出院后护理的差异.
科学领域:
- 老年人手术是一门老年人手术.
- 医疗保健服务研究 医疗服务研究
- 患者的治疗结果.
背景情况:
- 65岁及以上的整体外科患者经历了显著的压力.
- 出院后的护理对这个人口群体至关重要.
- 熟练护理设施 (SNF) 排放与家庭排放需要评估.
研究的目的:
- 为了比较退院到SNF和回家的老年整形外科患者的30天再入院率.
- 确定在从SNF出院的患者中重新入院的预测因素.
主要方法:
- 全国再接收数据库 (2016-2019) 的回顾性审查.
- 包括65岁以上接受全科手术的患者.
- 1:1的倾向匹配分析,将SNF排放与家庭排放进行比较.
- 应急程序的灵敏度分析和预测器的逐步回归.
主要成果:
- 在匹配的队列中,向SNF释放与更高的30天再入院有关.
- 败血症是SNF出院最常见的再入院诊断.
- 较高的疾病严重程度和生活在边缘大都市地区预测了SNF患者的再入院;高收入是保护性的.
结论:
- 退院到SNF与老年普通手术患者的家庭退院相比,再入院风险增加有关.
- 需要进行进一步的研究,以了解导致这种再接收差异的患者和设施因素.
相关概念视频
Discharge Summary Forms
750
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:
750
Planning Nursing Care I
4.4K
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...
4.4K
Restorative Care
1.9K
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,...
1.9K
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Documentation in Long-Term and Home Healthcare Setting
878
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
878
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K


