Maguire P A, Taylor I C, Stout R W
Br Med J (Clin Res Ed). 1986 May 10;292(6530):1251-3. doi: 10.1136/bmj.292.6530.1251.
A prospective study of 419 patients aged 70 and over admitted to acute medical wards was carried out by medical staff from a geriatric unit. Data, including presenting problem, housing, social support, mental state, continence, and degree of independence before and after admission, were recorded. Of the 419 patients, 143 remained in hospital after 14 days and 65 after 28 days. The major factors associated with prolonged stay in hospital included advanced age, stroke, confusion and falls as reasons for admission to hospital, incontinence, and loss of independence for everyday activities. Social circumstances did not predict length of stay. Although these factors are interrelated, the most important influence on length of stay was the medical reason for admission. Early contact with the geriatric medical unit in these patients may speed up the recovery or result in more appropriate placement.
一个老年病科的医护人员对419名70岁及以上入住急性内科病房的患者进行了一项前瞻性研究。记录了包括就诊问题、住房、社会支持、精神状态、大小便失禁情况以及入院前后的独立程度等数据。在这419名患者中，143人在14天后仍住院，65人在28天后仍住院。与住院时间延长相关的主要因素包括高龄、中风、因入院的原因如意识模糊和跌倒、大小便失禁以及日常生活失去自理能力。社会状况并不能预测住院时间。尽管这些因素相互关联，但对住院时间最重要的影响因素是入院的医疗原因。对这些患者尽早联系老年病科可能会加速康复或促成更合适的安置。
