预测婴儿潮时期老年烧伤患者的资源利用情况。
Predicting resource utilization of elderly burn patients in the baby boomer era.
机构信息
Department of Surgery, Division of Acute Care Surgery, PO Box 100286, Gainesville, FL 32610, USA.
出版信息
Am J Surg. 2013 Jan;205(1):29-34. doi: 10.1016/j.amjsurg.2012.05.002. Epub 2012 Sep 25.
BACKGROUND
Census predictions for Florida suggest a 3-fold increase in the 65 and older population within 20 years. We predict resource utilization for burn patients in this age group.
METHODS
Using the Florida Agency for Healthcare Administration admission dataset, we evaluated the effect of age on length of stay, hospital charges, and discharge disposition while adjusting for clinical and demographic factors. Using US Census Bureau data and burn incidence rates from this dataset, we estimated future resource use.
RESULTS
Elderly patients were discharged to home less often and were discharged to short-term general hospitals, intermediate-care facilities, and skilled nursing facilities more often than the other age groups (P < .05). They also required home health care and intravenous medications significantly more often (P < .05). Their length of stay was longer, and total hospital charges were greater (P < .05) after adjusting for sex, race, Charleson comorbidity index, payer, total body surface area burned, and burn center treatment.
CONCLUSIONS
Our data show an age-dependent increase in the use of posthospitalization resources, the length of stay, and the total charges for elderly burn patients.
背景
佛罗里达州的人口普查预测显示，未来 20 年内，65 岁及以上人口将增加两倍。我们预测了这一年龄组烧伤患者的资源利用情况。
方法
我们使用佛罗里达州医疗保健管理局的入院数据集，评估了年龄对住院时间、医院费用和出院去向的影响，同时调整了临床和人口统计学因素。我们使用美国人口普查局的数据和该数据集的烧伤发病率，估计了未来的资源使用情况。
结果
老年患者出院回家的比例较低，而出院到短期综合医院、中级护理设施和熟练护理设施的比例较高（P <.05）。与其他年龄组相比，他们还需要家庭保健和静脉内药物治疗的比例显著更高（P <.05）。调整性别、种族、Charlson 合并症指数、支付方、全身烧伤面积和烧伤中心治疗后，他们的住院时间更长，总住院费用更高（P <.05）。
结论
我们的数据显示，老年烧伤患者在出院后资源使用、住院时间和总费用方面存在年龄依赖性增加。
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