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65岁以上养老院居民中的急性再入院:基于登记的研究
Gitte Schultz Kristensen1,2, Jens Søndergaard3, Karen Andersen-Ranberg4
1Emergency Department, Aabenraa Hospital, University Hospital of Southern Jutland, Aabenraa, Denmark. gitte.schultz.kristensen@rsyd.dk.
European geriatric medicine
|February 21, 2025
概括
养老院居民面临高再接收风险. 新住院,癌症,糖尿病,心房动和COPD增加了再入院,而痴呆症降低了它,有助于早期识别.
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:
- 养老院居民经常有多种健康问题,增加住院和再入院的风险.
- 养老院居民的再接收风险因素可能与社区居住的老年人有所不同.
研究的目的:
- 在医院出院后,在养老院居民中确定急性再入院的30天内风险因素.
主要方法:
- 分析丹麦国家卫生登记处 (2014-2019) 对65岁以上养老院居民的数据.
- 包括第一次急性住院 (≥12小时).
- 考克斯回归用于确定与30天急性再入院相关的因素.
主要成果:
- 在2108例入院中,有15.6%的患者重新入院;14.3%的患者在30天内死亡.
- 几乎一半的再接收发生在放单后的一周内.
- 再入院的风险因素包括新护理院住院,癌症,糖尿病,心房动和COPD/喘. 痴呆症与较低的再接收风险有关.
结论:
- 这些发现有助于确定养老院居民在出院后早期再入院的风险较高.
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