从长期护理中入院的老年患者:国家队列和病例控制研究
Joseph Harbison1, Joan McCormack2, Olga Brych2
1Department of Medical Gerontology, Trinity College, Dublin, Ireland; Irish National Audit of Stroke Care, National Office of Clinical Audit, Dublin, Ireland.
Journal of the American Medical Directors Association
|September 6, 2025
概括
从长期护理 (LTC) 的中风患者经历了更糟糕的结果,与来自家庭的患者相比,中风单位的护理更少. 在COVID-19大流行期间,LTC中风患者的比例有所下降.
科学领域:
- 老年医学
- 神经学
- 公共卫生
背景情况:
- 大约3%的65岁及以上的老年人居住在长期护理机构.
- 养老院的老年人住院率较高.
- 了解中风患者的特征和LTC的结果至关重要,特别是考虑到流行病的影响.
研究的目的:
- 检查从LTC设置入院的急性中风患者的特征和结果.
- 分析COVID-19流行期间LTC中风病例的变化.
- 将LTC中风患者的结果与从家入院的患者进行比较.
主要方法:
- 分析爱尔兰国家中风审计数据 (2019-2023年).
- 从LTC入院的患者与从家入院的对照组进行比较.
- 评估中风前和出院后修改的兰金残疾分数 (mRS).
主要成果:
- 所有中风病例中的3. 5% (891名患者) 源自LTC.
- 患者年龄较大,女性比例较高,中风前功能状况较差 (mRS < 3: 17. 1% vs 73. 5%).
- 在LTC患者中,死亡率显著高 (21.2%对17.3%),入院中风率也较低 (60.4%对70.7%).
结论:
- 与在家住院的患者相比,来自LTC的中风患者表现较差,获得专业中风病房护理的机会较少.
- 在COVID-19大流行期间,来自LTC的中风病例比例有所下降.
- 在回归分析中,从养老院入院与出院结果 (mRS) 没有独立关联.
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