Department of Geriatric Medicine, University Hospital, SE-581 85, Linköping, Sweden.
Arch Gerontol Geriatr. 2012 Mar-Apr;54(2):391-7. doi: 10.1016/j.archger.2011.04.023. Epub 2011 Jun 2.
The aim of this population-based study was to (1) describe living conditions and actual health care utilization among 85 year olds; (2) determine factors that affect hospital admissions in this age. The study was conducted on 85-year-old residents in Linköping municipality, Sweden. The data collected included medical records, health care utilization during the preceding 12 months and a postal questionnaire on assistance, assistive technology, functional impairment, feelings of loneliness, worries and health-related quality of life measured by the EQ-5D. Out of 650 eligible individuals, 496 (78% of those alive) participated. Despite the prevalence of multi-morbidity (68%) and mental discomfort, the majority managed self-care (85%), usual activities (74%) and had high (>60/100) self-rated health evaluated by a visual analog scale (VAS). The non-hospitalized group reported a better health status than the hospitalized group in terms of medical aspects, living conditions and subjective estimation. Factors associated with in-patient care were an increased number of general practitioner visits, more assistive technology, community assistance, multimorbidity and/or diagnosed congestive heart failure and arrhythmia.
（1）描述 85 岁老年人的生活条件和实际医疗保健利用情况；（2）确定影响该年龄段住院的因素。该研究以瑞典林雪平市的 85 岁居民为研究对象。收集的数据包括医疗记录、过去 12 个月的医疗保健利用情况以及一份关于辅助、辅助技术、功能障碍、孤独感、担忧和通过 EQ-5D 测量的与健康相关的生活质量的问卷调查。在 650 名符合条件的参与者中，有 496 名（占存活者的 78%）参与了研究。尽管存在多种疾病（68%）和精神不适，但大多数人可以自理（85%）、进行日常活动（74%），并通过视觉模拟量表（VAS）评估自己的健康状况良好（>60/100）。非住院组在医疗方面、生活条件和主观评估方面报告的健康状况好于住院组。与住院治疗相关的因素包括：全科医生就诊次数增加、更多的辅助技术、社区援助、多种疾病和/或诊断为充血性心力衰竭和心律失常。
