住院后及时的市政康复减少了恢复和早期死亡的可能性
Søren Bie Bogh1,2, Sören Möller1,2, Mette Birk-Olsen3
1Research Unit OPEN, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Journal of rehabilitation medicine. Clinical communications
|September 12, 2024
概括
及时启动康复治疗可以显著降低急性再入院和死亡风险. 在法定时间内开始康复改善了患者的结果,降低了90天和365天的所有原因的急性再入院和365天的死亡率.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 迟迟开始康复是患者康复的一个问题.
- 了解及时康复对再接收和死亡率的影响对于医疗保健政策至关重要.
研究的目的:
- 调查及时启动康复和患者结果之间的关联.
- 分析康复时间对90天和365天所有原因急性再入院和死亡率的影响.
主要方法:
- 基于登记册的奥登塞市居民观察队列研究 (2015-2020年).
- 分析包括描述性统计,考克斯回归和累积发病率.
- 在60天内利用启动的康复转诊.
主要成果:
- 在7377个康复计划中,有68.5%的计划在法定时间内启动.
- 及时启动与90天 (aHR 0.82) 和365天 (HR 0.90) 所有原因急性再入院的显著减少有关.
- 延迟每周增加了再入院风险 (HR 1.05);及时开始减少了365天死亡率 (HR 0.74).
结论:
- 在法定时间框架内 (7天或14天) 开始康复,可显著降低90天和365天任何原因急性再入院的风险.
- 及时启动康复治疗与365天全因死亡率的显著降低有关.
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