养老院居民与社区居民住院情况的比较。

Comparison of hospitalization between nursing home and community residents.

作者信息

Gabow P A, Hutt D M, Baker S, Craig S R, Gordon J B, Lezotte D C

出版信息

J Am Geriatr Soc. 1985 Aug;33(8):524-9. doi: 10.1111/j.1532-5415.1985.tb04615.x.

DOI:10.1111/j.1532-5415.1985.tb04615.x

PMID:4019996

Abstract

The authors prospectively identified 96 consecutive nursing home residents (NHR) admitted to the medical wards of their affiliated hospitals to determine the outcome of hospitalization for these patients in comparison with 88 admissions in a similarly aged community residents (CR) population. Nursing home and community resident groups were similar in age, sex, marital status, and distribution among the four study hospitals. Dementia was a more common preexisting diagnosis in NHR than in CR. Reasons for admission differed between the two groups. Although NHR experienced a longer hospitalization than CR, frequency and duration of intensive care unit admissions were similar. Fatal outcome occurred more commonly in NHR compared with CR (27 v 11%, P less than .001). Predictors of mortality were examined. Nursing home residents also experienced a higher mortality than CR within the six months after hospitalization (35 v 20%, P less than .005).

摘要

作者前瞻性地识别了连续96名入住其附属医院内科病房的疗养院居民（NHR），以确定这些患者的住院结局，并与88名年龄相仿的社区居民（CR）入院患者进行比较。疗养院居民组和社区居民组在年龄、性别、婚姻状况以及四所研究医院中的分布情况相似。痴呆症作为一种先前存在的诊断在疗养院居民中比在社区居民中更为常见。两组的入院原因有所不同。尽管疗养院居民的住院时间比社区居民长，但重症监护病房入院的频率和持续时间相似。与社区居民相比，疗养院居民的死亡结局更为常见（27%对11%，P<0.001）。对死亡预测因素进行了检查。疗养院居民在住院后六个月内的死亡率也高于社区居民（35%对20%，P<0.005）。