Gooding J, Jette A M
J Am Geriatr Soc. 1985 Sep;33(9):595-601. doi: 10.1111/j.1532-5415.1985.tb06315.x.
This paper investigates the six-month hospital readmission rates among 444 patients 65 years of age or older admitted to a large metropolitan teaching hospital who had a primary discharge diagnosis of cerebrovascular disease, hip fracture, or congestive heart failure. Twenty-four percent were readmitted to the same institution one or more times during the six-month follow-up. Striking variability was observed in use of hospitals across these diagnostic groups. Patients with a primary diagnosis of congestive heart failure were at highest risk of hospital readmission (36%). Multiple readmissions among the congestive heart failure group were prevalent. These preliminary data suggest that hospital readmission among the aged is a complex multifaceted phenomena.
本文调查了444名65岁及以上入住一家大型都市教学医院的患者的六个月再入院率，这些患者的主要出院诊断为脑血管疾病、髋部骨折或充血性心力衰竭。在六个月的随访期间，24%的患者被再次收治到同一机构一次或多次。在这些诊断组中，医院使用情况存在显著差异。主要诊断为充血性心力衰竭的患者再入院风险最高（36%）。充血性心力衰竭组多次再入院的情况很普遍。这些初步数据表明，老年人的医院再入院是一个复杂的多方面现象。
