De Coster Carolyn, Bruce Sharon, Kozyrskyi Anita
Manitoba Centre for Health Policy, Department of Community Health Sciences, University of Manitoba, 727 McDermot Avenue, Suite 408, Winnipeg, MB, R3E 3P5, Canada.
Can J Aging. 2005 Spring;24 Suppl 1:97-106. doi: 10.1353/cja.2005.0044.
The effects of long-term hospitalizations can be severe, especially among older adults. In Manitoba, between fiscal years 1991/1992 and 1999/2000, 40 per cent of acute care hospital days were used by the 5 per cent of patients who had long stays, defined as stays of more than 30 days. These proportions were remarkably stable, despite major changes in the bed supply. Approximately two-thirds of long-stay patients were aged 75 or older. Medical record review for a small sample of long-stay medical patients aged 75 or older revealed that 42 per cent of the days spent in hospital were spent either awaiting transfer to another level of care (home care, nursing home, or chronic care), or were due to in-hospital factors, such as awaiting consults, tests, or treatments. Hospital information systems and early discharge planning may help to alleviate lengthy discharge delays and result in better care for these patients.
长期住院的影响可能很严重，尤其是在老年人中。在马尼托巴省，在1991/1992财政年度至1999/2000财政年度期间，5%的长期住院患者（定义为住院时间超过30天）占用了40%的急性护理医院住院天数。尽管床位供应发生了重大变化，但这些比例非常稳定。大约三分之二的长期住院患者年龄在75岁及以上。对一小部分75岁及以上的长期住院内科患者的病历审查显示，住院时间的42%要么用于等待转至另一级护理（家庭护理、疗养院或长期护理），要么是由于医院内部因素，如等待会诊、检查或治疗。医院信息系统和早期出院计划可能有助于缓解长期的出院延迟，并为这些患者提供更好的护理。
