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虚弱老年患者14天再入院相关因素:一项病例对照研究。

Factors associated with 14-day hospital readmission in frail older patients: A case-control study.

作者信息

Lin Mei-He, Wang Kuei-Ying, Chen Ching-Huey, Hu Fang-Wen

机构信息

Department of Nursing, College of Health Sciences, Chang Jung Christian University, Tainan City, Taiwan, ROC; Department of Nursing, Tzu Hui Institute of Technology, Pingtung County, Taiwan, ROC.

Department of Nursing, College of Health Sciences, Chang Jung Christian University, Tainan City, Taiwan, ROC.

出版信息

Geriatr Nurs. 2022 Jan-Feb;43:146-150. doi: 10.1016/j.gerinurse.2021.11.015. Epub 2021 Dec 8.

Abstract

Frailty is a key predictor of readmission among older patients. However, studies on the factors associated with readmission of frail older patients are lacking. This study aims to examine factors associated with 14-day hospital readmission in frail older patients. A retrospective case-control study was conducted. Patients were eligible for inclusion if they were age 65 and over and if their Clinical Frailty Scale (CFS) score was above 4. A total of 210 frail older patients were included. Patients who had partners, experienced a fall within 6 months before hospitalization, had pressure injuries, received surgery or chemotherapy, and received rehabilitation therapy from a physical therapist during hospitalization had increased odds of being readmitted to the hospital within 14 days. Moreover, patients receiving comprehensive geriatric assessment (CGA) services during hospitalization showed a significantly reduced risk of readmission. Adapting CGA and developing continuity care plans from hospitals to the community are crucial.

摘要

衰弱是老年患者再次入院的关键预测因素。然而,关于衰弱老年患者再次入院相关因素的研究尚缺。本研究旨在探讨衰弱老年患者14天内再次入院的相关因素。开展了一项回顾性病例对照研究。年龄65岁及以上且临床衰弱量表(CFS)评分高于4分的患者符合纳入标准。共纳入210例衰弱老年患者。有伴侣、住院前6个月内跌倒、有压疮、接受手术或化疗以及住院期间接受物理治疗师康复治疗的患者在14天内再次入院的几率增加。此外,住院期间接受综合老年评估(CGA)服务的患者再次入院风险显著降低。采用CGA并制定从医院到社区的连续性护理计划至关重要。

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