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非急性原因导致的急性护理病房住院情况:患者院前及入院因素的影响

Hospital stay on acute care units for non-acute reasons: Effects of patient pre-hospitalization and admission factors.

作者信息

Afilalo Marc, Soucy Nathalie, Xue Xiaoqing, Colacone Antoinette, Jourdenais Emmanuelle, Boivin Jean-François

机构信息

Emergency Department, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.

Emergency Department, Jewish General Hospital, Montreal, Quebec, Canada.

出版信息

Healthc Manage Forum. 2015 Jan;28(1):34-39. doi: 10.1177/0840470414551906.

Abstract

This study identifies patient risk factors present prior to an acute hospitalization that are associated with occupying acute care beds for non-acute reasons on the 30 day of a hospitalization. Data from 952 adult patients were obtained, among which 333 (35%) were evaluated as non-acute on their 30 day. Inability to move in and out of the bed, cognitive impairment, receiving home or community healthcare services prior to hospitalization, unavailable family resources, a secondary diagnosis within the mental and behavioural category, and age ≥75 years were found to increase the risk of occupying acute care beds for non-acute reasons, while patients with a feeding tube were less likely to be non-acute at day 30.

摘要

本研究确定了急性住院前存在的患者风险因素,这些因素与住院第30天时因非急性原因占用急性护理床位有关。获取了952名成年患者的数据,其中333名(35%)在住院第30天时被评估为非急性。无法自主上下床、认知障碍、住院前接受家庭或社区医疗服务、家庭资源不足、精神和行为类别中的二级诊断以及年龄≥75岁被发现会增加因非急性原因占用急性护理床位的风险,而使用饲管的患者在第30天时非急性的可能性较小。

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