Aangenendt-Siegers I P, Cools H J
Verpleeghuis De Bieslandhof, Delft.
Ned Tijdschr Geneeskd. 1992 Oct 10;136(41):2015-7.
Data from the Verpleeghuis Informatie Systeem (Nursing Home Information System, SIVIS) of the Stichting Informatiecentrum Gezondheidszorg (Foundation Information Centre Public Health, SIG) unlike data from the Central Bureau voor de Statistiek (Central Statistics Office, CBS) can afford insight into the primary causes of death of patients in Dutch nursing homes. We studied the question whether the causes of death of patients in somatic and psychogeriatric care differed and whether in these groups there was difference between those decreased within and after six months. Also, using the death certificates issued for the 29 patients deceased in nursing home De Bieslandhof in the first quarter of 1991, a comparison was made of reporting to the SIG and to the CBS. In 1989, data on 82.5% of the nursing home patients were registered in the SIVIS. Irrespective of the interval between admission and death and the nature of the multidisciplinary care (somatic or psychogeriatric), pneumonia was the cause of death most frequently stated (16%). Of the somatic patients decreased within six months the cause of death was mostly a malignancy. The psychogeriatric patients mostly died due to dehydration and cachexia. However, uncertainties in establishing the primary cause of death and registration errors are not made sufficiently clear in the SIVIS registration. The reporting to SIG and CBS does not always tally.
来自健康护理基金会信息中心（SIG）的养老院信息系统（SIVIS）的数据，与中央统计局（CBS）的数据不同，它能够深入了解荷兰养老院患者的主要死因。我们研究了以下问题：躯体护理和心理老年护理中患者的死因是否存在差异，以及在这些群体中，六个月内死亡和六个月后死亡的患者之间是否存在差异。此外，利用1991年第一季度在De Bieslandhof养老院去世的29名患者的死亡证明，对向SIG和CBS报告的情况进行了比较。1989年，82.5%的养老院患者的数据被登记在SIVIS中。无论入院到死亡的间隔时间以及多学科护理的性质（躯体护理或心理老年护理）如何，肺炎是最常被提及的死因（16%）。在六个月内死亡的躯体护理患者中，死因大多是恶性肿瘤。心理老年护理患者大多死于脱水和恶病质。然而，SIVIS登记中并未充分明确确定主要死因时的不确定性和登记错误。向SIG和CBS的报告并不总是一致。
