对社区居住的关节骨折患者进行家庭和机构康复的比较:一项匹配的队列研究
1Department of Health Management and Health Economics, University of Oslo, Blindern, Oslo, P.O. Box 1089, 0317, Norway.
概括
骨折后的家庭康复治疗比机构护理带来更好的结果. 接受家庭护理的患者的死亡率和再入院率明显降低,这表明护理质量有所改善.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 公共卫生 公共卫生
背景情况:
- 骨骨折的家庭康复是具有成本效益的,但与机构护理相比,其质量受到争议.
- 评估护理质量对于部骨折后患者的治疗结果至关重要.
研究的目的:
- 为了比较关节骨折患者的家庭康复与机构康复的质量.
- 检查一年死亡率和30天再入院率作为护理质量的指标.
主要方法:
- 利用了挪威注册数据,来自10,790名社区住宿的关节骨折患者 (60岁以上).
- 雇员倾向得分匹配,以比较接受家庭护理与机构康复的患者.
- 应用后勤回归来分析康复环境对患者结果的影响.
主要成果:
- 家庭康复与明显较低的死亡率有关 (OR=0.44;95% CI,0.38-0.51).
- 接受家庭护理的患者也显示出明显较低的再入院率 (OR=0.56;95% CI,0.49-0.63).
结论:
- 关节骨折患者的机构康复与较高的死亡率和再入院率有关.
- 家庭康复似乎为关节骨折患者提供更优质的护理质量和更好的临床结果.
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