Spisák V, Djablíková L
Interné oddelenie A NsP, Zilina.
Vnitr Lek. 2000 Aug;46(8):452-5.
The authors investigated perspectively during 1998 the frequency of early rehospitalizations (within 30 days after discharge) focused on cardiovascular diseases. From a total number of hospitalized patients (2349) early rehospitalized patients accounted for 91% (214 rehospitalizations). Rehospitalizations after cardiac attacks accounted for 45.4% rehospitalizations and for 4.1% of all hospitalized patients. The largest ratio of rehospitalizations on account of cardiovascular diseases were patients with heart failure (39.1%), with cardiac arrhythmias (22.6%) and unstable angina pectoris (21.6%). In relation to the number of total hospital admissions most frequently patients with unstable angina pectoris were rehospitalized within 30 days after discharge (20.1%). Least frequently patients with myocardial infarction, a cerebrovascular attack and hypertension were rehospitalized (3.1%, 3.0%, 1.9%). An important factor which was followed up was the cause of rehospitalization which was assessed in 54.6% of patients. In patients with heart failure in as many as 71%. The authors assume that in this percentage of rehospitalizations it should be possible to avert it and to reduce thus at the same time economic costs. It was not possible to assess exactly the role of social factors in rehospitalizations but it is possible that they were identical with the cause on the part of the patient and participated by 17.5-21% in rehospitalizations (see tables 7 and 11).
作者于1998年对心血管疾病患者出院后30天内的早期再入院频率进行了前瞻性调查。在全部住院患者（2349例）中，早期再入院患者占91%（214例再入院）。心脏病发作后的再入院占再入院总数的45.4%，占全部住院患者的4.1%。因心血管疾病再入院比例最高的是心力衰竭患者（39.1%）、心律失常患者（22.6%）和不稳定型心绞痛患者（21.6%）。就总入院次数而言，不稳定型心绞痛患者出院后30天内再入院的频率最高（20.1%）。心肌梗死、脑血管意外和高血压患者再入院的频率最低（3.1%、3.0%、1.9%）。一个需要跟进的重要因素是再入院原因，54.6%的患者接受了评估。心力衰竭患者中这一比例高达71%。作者认为，在这一比例的再入院病例中，应该有可能避免再入院，从而同时降低经济成本。无法准确评估社会因素在再入院中的作用，但社会因素可能与患者自身的病因相同，在再入院中所占比例为17.5%至21%（见表7和表11）。
