在心脏衰竭后成功退院
Andrew L Chen1, Blythe G Chen2, Lan Jiang3
1The Warren Alpert Medical School of Brown University, Providence, RI, USA.
Journal of the American Medical Directors Association
|August 25, 2025
概括
被送往熟练护理机构 (SNFs) 的心力衰竭 (HF) 的社会联系的退伍军人获得成功的社区出院率更高. 低社会联系可能表明复杂的护理需求阻碍家庭过渡.
科学领域:
- 老年学
- 公共卫生
- 心脏病学
背景情况:
- 社会联系与更好的健康结果有关.
- 在心力衰竭 (HF) 住院后出院到熟练护理机构 (SNF) 的患者有很高的再入院风险.
- 社会联系对HF患者成功脱离SNF的影响尚不清楚.
研究的目的:
- 确定HF退伍军人的社会联系与急性后SNF护理的成功释放之间的关联.
- 在退伍军人群中量化社会联系和退役结局之间的关系.
主要方法:
- 对退伍军人进行回顾性队列研究 (2011年1月至2019年6月).
- 主要结果:成功出院 (社区出院90天内,出院后30天的存活期没有重新住院/住院).
- 用社会连接指数 (SCI) 测量社会连接,分为低 (0-4) 或高 (5).
主要成果:
- 其中包括29,725名退伍军人.
- 较高的社会联系 (SCI=5) 与成功出院的可能性更高 (调整后的相对风险为1.21;95% CI为1.13-1.31).
- 这种关联在阿尔茨海默病和相关痴呆症 (ADRD) 的子组中持续存在.
结论:
- 在SNF中经历更强的社会联系的HF退伍军人表现出更高的成功退役率.
- 低社会联系可能表明未得到满足的护理需求使家庭过渡变得复杂.
- 测量社会隔离可能有助于识别适合出院的患者.
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