长期护理居民的死亡率:回顾性国家队列研究
Jane MacRae1, Giorgio Ciminata2, Claudia Geue2
1Academic Geriatric Medicine, School of Cardiovascular and Metabolic Health, Collge of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
BMJ supportive & palliative care
|October 9, 2024
概括
苏格兰养老院的死亡率很高,痴呆症是死亡的主要原因. 从医院入院的个人面临更高的死亡风险,强调需要改善支持.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 了解长期护理中的死亡率模式对于改善患者的治疗结果至关重要.
- 将国家数据集联系起来,可以对养老院人口进行全面的现实世界分析.
研究的目的:
- 描述苏格兰养老院新入院人员的死亡率趋势和相关因素.
- 利用链接的国家数据进行长期的跟进和分析.
主要方法:
- 以苏格兰 (2013-2016) 国家社会护理和健康数据为依据的回顾性队列研究.
- 数据链接包括养老院入院,健康记录和死亡记录.
- 生存率分析采用了哥珀茨模型,对关键变量进行了调整.
主要成果:
- 到2020年5月,在23,892名养老院入住者中,84.8%的人死亡,大多数死亡发生在养老院 (77.5%).
- 痴呆症是最常见的潜在死亡原因 (35.1%).
- 与社区住院 (951天) 相比,从医院入院的患者的中位生存时间较短 (701天),调整后的危险比率为1.19.
结论:
- 在苏格兰的养老院中,死亡率很普遍,时间有很大的差异.
- 痴呆症是该人口中死亡率的主要驱动因素.
- 在护理院入院之前入院与较早的死亡率有关,这表明需要有针对性的支持干预措施.
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