Andersen G, Jensen L B, Revsbech P A
Geriatrisk afdeling, Aalborg Sygehus.
Ugeskr Laeger. 1990 Jul 16;152(29):2104-6.
A retrospective investigation was undertaken to investigate which factors are of significance in recommendation of patients with cerebral apoplexy in geriatric departments to nursing homes. The investigation includes 116 patients admitted during a period of two years. Thirty-five (30%) were recommended for nursing homes. Sixty-seven (58%) remained severely handicapped (corresponding to Rankin's groups IV and V). Logistic regression analysis revealed that marital status, dementia, lack of motivation and inability to walk were associated with recommendation for nursing homes whereas sex, degree of paresis, aphasia, focal cognitive disturbances, incontinence of urine and hemianopsia did not show any association. Sex was, similarly, of no significance for the functional result of rehabilitation. On the basis of the regression analysis, the probability of recommendation to a nursing home may be calculated with knowledge of the predisposing factors in any given patient.
开展了一项回顾性调查，以研究在老年科将脑中风患者推荐至养老院时哪些因素具有重要意义。该调查纳入了两年期间收治的116例患者。其中35例（30%）被推荐至养老院。67例（58%）仍存在严重残疾（相当于Rankin分级的IV级和V级）。逻辑回归分析显示，婚姻状况、痴呆、缺乏动力和无法行走与推荐至养老院有关，而性别、轻瘫程度、失语、局灶性认知障碍、尿失禁和偏盲则未显示出任何关联。同样，性别对康复功能结果也无显著影响。基于回归分析，根据任何特定患者的易感因素，可计算出推荐至养老院的概率。
