Gomes Josephine P, Shaheen Wassim H, Truong Son V, Brown Edward F, Beasley Brent W, Gajewski Byron J
William Newton Memorial Hospital Winfield, KS, USA.
J Gen Intern Med. 2003 Nov;18(11):934-6. doi: 10.1046/j.1525-1497.2003.21133.x.
Chronic care facility stay has been shown to be an independent risk factor for venous thromboembolism. Review of the literature, however, reveals a paucity of data addressing the issue of venous thromboembolism in nursing home residents. The purpose of this study was to determine the incidence of venous thromboembolic events among nursing home residents. A retrospective cohort study was derived from data compiled in the State of Kansas Minimum Data Set (MDS) for nursing home residents from July 1, 1997 to July 1, 1998. A total of 18,661 residents (median age, 85 years, 74% female, 95% white) satisfied the study criteria. The outcome measures of the primary endpoint-development of a venous thromboembolic event (VTE)-were obtained from the MDS quarterly health assessments and the Medicare ICD-9 codes. We determined the incidence of VTE among nursing home residents as 1.30 events per 100 person-years of observation.
长期护理机构住院已被证明是静脉血栓栓塞的一个独立危险因素。然而,文献回顾显示,针对疗养院居民静脉血栓栓塞问题的数据很少。本研究的目的是确定疗养院居民中静脉血栓栓塞事件的发生率。一项回顾性队列研究的数据来自堪萨斯州疗养院居民1997年7月1日至1998年7月1日的最小数据集(MDS)。共有18661名居民(中位年龄85岁,74%为女性,95%为白人)符合研究标准。主要终点——静脉血栓栓塞事件(VTE)发生情况的结局指标,来自MDS季度健康评估和医疗保险ICD - 9编码。我们确定疗养院居民中VTE的发生率为每100人年观察期1.30例事件。