创伤后再住院的危险因素:一项后续研究
Bella Savitsky1,2, Arielle Kaim3,4, Irina Radomislensky1
1Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, 52621, Tel-Hashomer, Israel.
概括
更年长的创伤患者面临着明显更高的再住院风险,特别是在跌倒后. 对减轻这些风险至关重要,特别是对于老年人来说,全面的出院规划至关重要.
科学领域:
- 创伤外科手术是什么
- 老年医学 老年医学
- 医疗服务研究 医疗服务研究
背景情况:
- 无计划的再住院对患者,家庭和医疗保健系统构成重大负担.
- 了解再住院模式是改善患者治疗结果和资源配置的关键.
研究的目的:
- 分析与创伤相关的再住院模式在出院后的7,30,60和90天.
- 确定患者年龄与再住院风险之间的关联,控制其他因素.
主要方法:
- 追溯队列研究,将国家创伤和住院数据库联系起来.
- 使用了单变量和多变量通用估计方程 (GEE) 模型.
- 分析包括297022名创伤患者.
主要成果:
- 再住院率为4.4% (7天),9.2% (30天),12.3% (60天) 和14.7% (90天).
- 患者年龄的增加与更高的再住院几率有很强的相关性 (例如,75-84岁的OR从3.33到4.95不等).
- 再住院的风险在60天达到顶峰,90天略有下降.
结论:
- 年龄是创伤再住院的重要预测因素.
- 多学科的出院规划和护理过渡系统是必不可少的.
- 应特别注意老年人,特别是那些因跌倒而住院的人.
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