Krüger Kjell, Jansen Kristian, Grimsmo Anders, Eide Geir Egil, Geitung Jonn Terje
Løvåsen Teaching Nursing Home, Municipality of Bergen, N-5145 Fyllingsdalen, Norway.
Nurs Res Pract. 2011;2011:247623. doi: 10.1155/2011/247623. Epub 2011 Apr 10.
Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of the total number of admissions to medical wards, while for surgical wards they made up 3.8%. Infections, fractures, cardiovascular and gastri-related diagnoses represented the most frequent admission diagnoses. Infections accounted for 25.0% of admissions, including 51.0% pneumonias. Of all the admissions, fractures were the cause in 10.2%. Of all fractures, hip fractures represented 71.7. The admission rate increased as the proportion of short-term beds increased, and at nursing homes with short-term beds, admissions increased with increasing physician coverage. Potential reductions in hospitalizations for infections from nursing homes may play a role to reduce pressure on medical departments as may fracture prevention. Solely increasing physician coverage in nursing homes will probably not reduce the number of hospitalizations.
挪威此前尚未对养老院患者的住院情况进行过调查。在12个月的时间里，通过挪威救护车登记系统记录了卑尔根32家养老院所有的住院情况（急性和择期）。住院期间的主要诊断、住院时长以及病房信息均来自医院的数据登记系统，并对数据进行了合并。在这12个月里，共记录了1311例住院情况。养老院患者的住院人数占内科病房总住院人数的6.1%，而在外科病房则占3.8%。感染、骨折、心血管疾病和胃肠道相关诊断是最常见的住院诊断。感染占住院人数的2５.0%，其中肺炎占51.0%。在所有住院病例中，骨折导致的占10.2%。在所有骨折病例中，髋部骨折占71.7%。随着短期床位比例的增加，住院率也随之上升，在设有短期床位的养老院，随着医生覆盖率的增加，住院人数也有所增加。预防养老院感染导致的住院情况可能有助于减轻内科部门的压力，预防骨折也可能起到同样的作用。单纯增加养老院的医生覆盖率可能无法减少住院人数。
