Jones K R
Image J Nurs Sch. 1992 Summer;24(2):88-94. doi: 10.1111/j.1547-5069.1992.tb00230.x.
This study used primary data to analyze the incidence, causes and total days of hospitalization over a six-month period for a sample of chronic hemodialysis patients in one geographic area of the country. Patients were hospitalized most frequently for access-related and cardiovascular problems. Logistic regression analysis indicated that patients were more likely to be hospitalized if they had lower Karnofsky functional status scores, lower serum phosphate and protein levels, repeat access procedures, a negative hepatitis antigen, arthritis, psychiatric disorders, ischemic peripheral vascular disease or other cardiovascular conditions or were from larger households. Risk of hospitalization was not influenced by hemodialysis treatment characteristics. Recommendations for improved management of these high-cost patients were made, which could enhance quality of life and lower hospital-related costs.
本研究使用原始数据，对该国一个地理区域内慢性血液透析患者样本在六个月期间的住院发生率、病因及住院总天数进行了分析。患者住院最常见的原因是与血管通路相关的问题和心血管问题。逻辑回归分析表明，如果患者卡诺夫斯基功能状态评分较低、血清磷酸盐和蛋白质水平较低、接受过重复血管通路手术、肝炎抗原呈阴性、患有关节炎、精神障碍、缺血性外周血管疾病或其他心血管疾病，或者来自大家庭，则更有可能住院。住院风险不受血液透析治疗特征的影响。针对这些高成本患者提出了改进管理的建议，这可能会提高生活质量并降低与医院相关的成本。
