Caradoc-Davies T H
N Z Med J. 1986 Sep 10;99(809):675-8.
In a four month period 228 patients were admitted to the Wakari assessment and rehabilitation unit in Dunedin, New Zealand. One hundred and seventy subjects came from the community, 35 were transferred from the local public hospital, and 23 were readmitted. Median lengths of stay were 13, 26 and 10 days respectively. Assessment of activities of daily living (ADL) dependency on admission and discharge showed a significant improvement in ability by discharge, which correlated closely with place to which subjects were discharged, and with survival. There was 5% inpatients death rate which cumulated to 18%, 23%, 34%, 39% and 46% by six weeks, three months, six months, nine months and one year respectively. High discharge dependency was closely related to poor survival after discharge. Use of domiciliary services did not change because the savings from those who moved into institutions were cancelled out by those who were discharged back to the community being in need of increased social support.
在四个月的时间里，228名患者被收治到新西兰达尼丁的瓦卡里评估与康复单元。其中170名患者来自社区，35名从当地公立医院转入，23名是再次入院。住院时间中位数分别为13天、26天和10天。对入院时和出院时日常生活活动（ADL）依赖程度的评估显示，出院时患者的能力有显著改善，这与患者出院的去向以及生存率密切相关。住院患者死亡率为5%，到六周、三个月、六个月、九个月和一年时分别累计至18%、23%、34%、39%和46%。出院时依赖程度高与出院后生存率低密切相关。居家服务的使用没有变化，因为入住机构的患者节省的费用被出院回到社区且需要更多社会支持的患者抵消了。
