Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
Dementia Centre for Research Collaboration, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Australas J Ageing. 2021 Mar;40(1):e44-e53. doi: 10.1111/ajag.12847. Epub 2020 Sep 3.
To examine the role of frailty in risk of re-hospitalisation and mortality for aged care residents following a fall injury hospitalisation.
Retrospective analysis of linked hospitalisation and aged care data of adults aged ≥65 years residing in aged care. A semi-competing risk analysis examined risk of hospital readmission.
Residents who had intermediate or high frailty, who were aged 70-79 or 80-89 years, who had 1-2 or ≥3 comorbidities, sustained a hip fracture, and who had either low, moderate or high complex health-care requirements had a higher risk of being readmitted to hospital. Frailty was not associated with mortality for those with no hospital readmission or mortality after readmission.
Frailty is an important prognostic factor associated with readmission for residents of aged care hospitalised for a fall injury. Frailty screening could assist to identify people at a high risk of re-hospitalisation following a fall injury.
探讨衰弱在老年人跌倒伤住院后再次住院和死亡风险中的作用。
对 65 岁以上居住在养老院的成年人的住院和养老院数据进行回顾性分析。采用半竞争风险分析来检查住院再入院的风险。
中度或高度衰弱、年龄在 70-79 岁或 80-89 岁、有 1-2 种或≥3 种合并症、髋部骨折、以及低、中或高复杂医疗需求的居民再次住院的风险更高。对于没有住院再入院或再入院后死亡的患者，衰弱与死亡率无关。
衰弱是与因跌倒伤住院的养老院居民再次入院相关的重要预后因素。衰弱筛查可以帮助识别跌倒伤后再次住院风险较高的人群。
