社区居民阿尔茨海默病患者的住院、门诊就诊和医疗费用。

Hospital admissions, outpatient visits and healthcare costs of community-dwellers with Alzheimer's disease.

机构信息

Institute of Clinical Medicine - Neurology, University of Eastern Finland, Kuopio, Finland.

Kuopio Research Centre of Geriatric Care, University of Eastern Finland, Kuopio, Finland; School of Pharmacy, University of Eastern Finland, Kuopio, Finland.

出版信息

Alzheimers Dement. 2015 Aug;11(8):955-63. doi: 10.1016/j.jalz.2014.10.005. Epub 2014 Dec 10.

DOI:10.1016/j.jalz.2014.10.005

PMID:25496872

Abstract

BACKGROUND

Detailed data on the health care service use of people with Alzheimer's disease (AD) are scarce.

METHODS

We assessed the health care service use of all community-dwelling persons with clinically verified AD diagnosis, residing in Finland on December 31, 2005 (n = 27,948) in comparison to matched cohort without AD. Hospitalization data during 2006-2009 were extracted from the National Hospital Discharge Register.

RESULTS

Comorbidity-adjusted incidence rate ratios; IRR (95% CI) were 1.25 (1.22-1.28) for inpatient admissions and 0.72 (0.68-0.77) for outpatient visits. People with AD had more general health care admissions (IRR, 95%CI 1.73, 1.67-1.80) but less admissions to specialty units 0.82 (0.79-0.85) than the non-AD group, with psychiatry being the only specialty with more admissions in the AD group. People with AD had 16 more hospital days/person-year.

CONCLUSIONS

It would be important to assess whether inpatient hospitalizations of AD patients could be decreased by better targeting of outpatient services and whether other conditions are underdiagnosed or undertreated among persons with AD.

摘要

背景

有关阿尔茨海默病（AD）患者医疗服务利用的详细数据很少。

方法

我们评估了所有居住在芬兰的经临床确诊的 AD 患者（n=27948）在 2005 年 12 月 31 日与无 AD 患者的对照队列相比，其医疗服务利用情况。2006-2009 年期间的住院数据从国家住院患者登记簿中提取。

结果

调整合并症后的发病率比；IRR（95%CI）为住院 1.25（1.22-1.28），门诊就诊 0.72（0.68-0.77）。AD 患者的一般医疗保健入院率更高（IRR，95%CI 1.73，1.67-1.80），但专科病房入院率较低 0.82（0.79-0.85），精神病科是 AD 组中唯一入院人数更多的专科。AD 患者的住院天数/人年增加了 16 天。