Grim Rod D, McElwain Diane, Hartmann Rhada, Hudak Mary, Young Sandra
Emig Research Center at York Hospital, York, PA, USA.
Am J Hosp Palliat Care. 2010 Dec;27(8):526-31. doi: 10.1177/1049909110368528. Epub 2010 Aug 16.
This study evaluated reasons why palliative care patients were readmitted within 30 days of discharge. A secondary purpose was to determine whether length of stay (LOS) was different between readmission reasons. From July 2006 to June 2007, 156 palliative care readmissions were identified. Codes were assigned to each readmission and included compliance issues, discharge planning, disease process, new diagnosis, premature discharge, surgical complications, and other. Results demonstrated that disease progression (63%) and development of new co-morbidities (17%) were the primary readmission causes. No significant differences among readmission causes for LOS were identified. As the primary reason for readmission was the disease process, a closer look at the most common disease processes and the specific complications that resulted in a readmission would be helpful in planning patient care.
本研究评估了姑息治疗患者在出院后30天内再次入院的原因。第二个目的是确定再次入院原因之间的住院时间（LOS）是否存在差异。2006年7月至2007年6月，共确定了156例姑息治疗再次入院病例。为每次再次入院分配了编码，包括依从性问题、出院计划、疾病进展、新诊断、过早出院、手术并发症及其他。结果表明，疾病进展（63%）和新合并症的出现（17%）是再次入院的主要原因。未发现再次入院原因之间在住院时间上存在显著差异。由于再次入院的主要原因是疾病进展过程，仔细研究最常见的疾病进展过程以及导致再次入院的具体并发症，将有助于规划患者护理。
