新加坡补贴养老院居民的意外住院情况:数据链接研究的见解
Weiren Charles Quah1, Chin Jong Leong1, Edward Chong2,3
1Quality Division, Agency for Integrated Care, Singapore.
Annals of the Academy of Medicine, Singapore
|December 5, 2024
概括
新加坡养老院居民的意外住院情况很常见,感染是常见的原因. 诸如男性性别和先前入院等因素增加了风险,突出了需要更好的设施内护理策略的需要.
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:
- 住院对脆弱的养老院 (NH) 居民构成风险.
- 关于新加坡NH居民住院的数据有限.
研究的目的:
- 为了量化新加坡NH居民住院的数量.
- 识别与非计划住院相关的特征和成本.
主要方法:
- 对新加坡9922名受补贴的NH居民进行了回顾性队列研究.
- 分析管理医疗保健数据,包括住院,诊断和成本.
- 多变量回归用于确定住院患者入院的相关值.
主要成果:
- 每1000个住院日的住院病例为2.23,其中68%是重复住院病例.
- 风险因素包括男性性别,生命末期状态和之前的住院治疗.
- 主要诊断:下呼吸道感染,尿路感染,败血症,细胞炎,胃肠炎.
- 预计招生总成本:SGD 4020万.
结论:
- 预计随着国民医院人口老龄化,无计划住院率将上升.
- 这些发现为制定减少NH住院治疗的策略提供了基线.
- 专注于改善设施内护理至关重要.
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