在急症护理医院的过渡性护理和门诊护理之间的关联与敏感条件相关的再录取有关
Ako Machida1, Noriko Morioka2,3, Mutsuko Moriwaki4
1Department of Nursing Health Services Research, Graduate School of Health Care Sciences, Institute of Science Tokyo, Yushima, Bunkyo-ku, Tokyo, Japan.
Age and ageing
|September 9, 2025
概括
住院的老年患者的过渡性护理与出院护理敏感条件 (ACSC) 与更少的再入院有关. 这种干预措施有望减少ACSC患者的早期住院转诊.
科学领域:
- 老年医学 老年医学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 在急性护理环境中,减少 ambulatory care sensitive conditions (ACSC) 的重入院仍然是一个挑战.
- 了解影响ACSC老年患者再入院的因素对于改善护理质量至关重要.
研究的目的:
- 调查过渡期护理干预措施与 ACSC 住院老年患者再入院率之间的关联.
- 确定过渡性护理是否会影响随后与ACSC相关的再入院的风险.
主要方法:
- 追溯观察队列研究,利用相关的行政和医院病床数据.
- 包括65岁及以上的患者,其初级诊断为ACSC.
- 分析不同时间框架 (7-60天) 的累积再接收率,使用逆概率治疗加权.
主要成果:
- 在分析的85,582名患者中,有66.8%的患者获得过渡性护理.
- 总体而言,过渡期护理与ACSC相关再入院的几率降低有关,几率比率从0.72 (7天) 到0.91 (60天) 不等.
- 过渡性护理对再入院的影响因ACSC类型而异,在最初的21天内,对慢性ACSC和急性/疫苗可预防的ACSC显示出更强的效果.
结论:
- 在急症护理医院提供的过渡性护理似乎与ACSC的老年患者早期再入院的风险较低有关.
- 这些发现表明,过渡期护理是治疗住院后患有ACSC的老年患者的有价值的策略.
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