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[老年患者的中期住院:长期候诊室还是积极康复单元?]

[Medium-stay for geriatric patients: a long-stay waiting room or an active rehabilitation unit?].

作者信息

Borde C, Benichou S, Rigaud M, Raynal F, Manciet G, Emeriau J P, Galley P

出版信息

Sem Hop. 1982 Oct 21;58(38):2219-22.

PMID:6294867
Abstract

From May 1979 to April 1980, 223 patients were discharged from a "medium stay" unit (mean length of stay: 45 days) for geriatric patients in Bordeaux (France). The outcome at discharge was established from retrospective data, and the long-term outcome (18 months) through a letter sent to general practitioners (rate of response: 88,5% with, in some instances, a prompting phone-call). The mortality rates were 22,5% in hospitalized patients and 38% in survivors after discharge. When those hospitalized for social reasons only are excluded, 62,9% of the remaining patients returned to their former place of residence at discharge. Moreover, 83% were still living at the same place after 18 months (range: 12-24 months). Considering the patients' ages and the seriousness of their conditions, "medium stay", geriatric units seem efficient in helping to maintain the aged at home.

摘要

1979年5月至1980年4月期间,法国波尔多一家收治老年患者的“中期护理”病房(平均住院时长:45天)有223名患者出院。出院时的结局是根据回顾性数据确定的,而长期结局(18个月)则是通过给全科医生寄信得出的(回复率为88.5%,在某些情况下还打了提醒电话)。住院患者的死亡率为22.5%,出院后幸存者的死亡率为38%。若仅排除因社会原因住院的患者,其余患者中有62.9%在出院时回到了原来的居住地。此外,18个月后(时长范围:12 - 24个月),83%的患者仍居住在同一地点。考虑到患者的年龄及其病情的严重程度,“中期护理”老年病房在帮助老年人居家养老方面似乎很有效。

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