Liotta G, Inzerilli M C, Palombi L, Bianchini A, Di Gennaro L, Madaro O, Marazzi M C
Biomedicine and Prevention Department, University of Rome "Tor Vergata", Rome, Italy.
Community of Sant'Egidio, "Long Live the Elderly" program, Rome, Italy - Municipality of Rome, Italy.
Ann Ig. 2018 Sep-Oct;30(5):378-386. doi: 10.7416/ai.2018.2237.
The paper describes the impact on Hospital Admissions of a program targeting the community-dwelling older citizens with social interventions aimed at managing frailty and reducing social isolation.
The study is quasi-experimental intervention program.
A randomized sample made up by 207 participants (cases) to the Long Live the Elderly program is compared with a cohort of 308 older adults (controls) followed up since 2014 by the University of Tor Vergata. At the enrolment all the participants have been administered a multidimensional questionnaire to assess frailty. After six months, the two groups are compared for the inpatient's admission rate.
The percentage of patients who was admitted to the hospital during the first six month of follow up was 9.1% and 8.3% among the controls and the cases respectively. The inpatient's admission rate was higher among the controls (251.6 per 1000 observation/year) than for the cases (167.3). Despite the cases were older than the controls (mean age 83.5, SD±8.1 vs 76.7, SD±7.1; p=0.001), showed a lower percentage of frail/very frail individuals (29.5% vs 33.4%). The multivariate linear regression adjusted for gender, age and frailty showed a reduction of the hospital admission rate associated to the Long Live the Elderly program (p=0.013).
The study suggests the impact on the reduction of acute hospital admission in the first six months of follow up, of a Community-based Program aimed at increasing the social capital of older adults. Further studies with longer follow up are needed to confirm the study results in order to support the hypothesis that the future sustainability of health systems is partially linked to the increase of the social component of community care service.
本文描述了一项针对社区居住的老年公民的项目对医院入院情况的影响，该项目通过社会干预措施来管理衰弱并减少社会孤立。
该研究为准实验性干预项目。
将参与“老年人长寿计划”的207名参与者（病例）的随机样本与自2014年以来由罗马第二大学随访的308名老年人队列（对照组）进行比较。在入组时，所有参与者都接受了一份多维问卷以评估衰弱情况。六个月后，比较两组的住院率。
在随访的前六个月中，对照组和病例组的住院患者百分比分别为9.1%和8.3%。对照组的住院率（每1000次观察/年251.6例）高于病例组（167.3例）。尽管病例组比对照组年龄更大（平均年龄83.5岁，标准差±8.1岁，对照组为76.7岁，标准差±7.1岁；p = 0.001），但衰弱/非常衰弱个体的百分比更低（29.5%对33.4%）。经性别、年龄和衰弱调整的多元线性回归显示，“老年人长寿计划”与住院率降低相关（p = 0.013）。
该研究表明，一项旨在增加老年人社会资本的社区项目在随访的前六个月对减少急性医院入院有影响。需要进行更长时间随访的进一步研究来证实研究结果，以支持以下假设，即卫生系统未来的可持续性部分与社区护理服务社会组成部分的增加有关。
