Lewis M A, Kane R L, Cretin S, Clark V
Am J Public Health. 1985 Jul;75(7):758-62. doi: 10.2105/ajph.75.7.758.
To determine the relationship between admission status and subsequent outcomes, 563 patients discharged during 1980 from 24 nursing homes were followed through 1982. Only 28 per cent of patients were discharged to their homes. Reconstructed life histories of 529 discharges for the two-year follow-up revealed only 38 persons (7.2 per cent) were alive and at home; of these, 36 had been initially discharged to their homes. Four hundred and one persons (75.8 per cent) were dead. Mental orientation, urinary continence, functional status, hip fracture, and diagnoses associated with dementia were found to be significant predictors of outcome status after discharge and at follow-up. Social support had only a modest effect on the former outcomes.
为了确定入院状态与后续结果之间的关系,对1980年从24家疗养院出院的563名患者进行了随访,随访期至1982年。只有28%的患者出院后回到家中。对529例出院患者进行的为期两年的随访重建生活史显示,只有38人(7.2%)还活着且在家中;其中,36人最初出院后就回到了家中。401人(75.8%)已经死亡。研究发现,精神定向、尿失禁、功能状态、髋部骨折以及与痴呆相关的诊断是出院后及随访时结果状态的重要预测因素。社会支持对上述结果只有适度影响。