Department of Geography and Planning, Queen's University.
Can J Aging. 2020 Dec;39(4):533-544. doi: 10.1017/S0714980819000771. Epub 2020 Feb 24.
This study examines the influence of chronic health conditions and socio-economic status on overnight admission and length of stay among Canadian seniors. Incremental multivariate logistic and zero-inflated negative binomial regression models assessed the relationship between selected predictors, overnight admission, and duration of stay. The findings show that all chronic health conditions and socio-economic factors examined were significantly associated with overnight hospital admission. However, seniors with cardiovascular health conditions, the very old, and seniors living in lower-income households had a greater risk of longer stays. Canadian seniors diagnosed with hypertension, cancer, diabetes, and stroke had greater risk of longer overnight hospital stays. Seniors aged 75 to 79 years, 80 years or older, and those living in lower-income households (≤ $39,999) were more likely to have a longer overnight hospital stay. Findings suggest that improving seniors' health and socio-economic status may reduce the risk of overnight admission and longer stays of hospitalisation.
本研究考察了加拿大老年人的慢性健康状况和社会经济地位对住院过夜和住院时间的影响。增量多变量逻辑回归和零膨胀负二项回归模型评估了选定预测因子与住院过夜和住院时间之间的关系。研究结果表明，所有检查的慢性健康状况和社会经济因素都与住院过夜显著相关。然而，患有心血管健康状况、非常高龄和生活在低收入家庭的老年人住院时间延长的风险更大。被诊断患有高血压、癌症、糖尿病和中风的加拿大老年人住院过夜时间更长的风险更大。75 至 79 岁、80 岁及以上以及生活在低收入家庭（≤39999 美元）的老年人更有可能住院过夜时间延长。研究结果表明，改善老年人的健康和社会经济地位可能会降低住院过夜和住院时间延长的风险。
