Applegate W B, Akins D, Vander Zwaag R, Thoni K, Baker M G
J Am Geriatr Soc. 1983 Apr;31(4):206-10. doi: 10.1111/j.1532-5415.1983.tb05096.x.
This report describes functional status at admission, discharge, and six months later for 100 elderly persons treated at a community hospital assessment and rehabilitation unit. The goal of the unit is to prevent institutionalization of frail elderly persons considered at risk for nursing home placement. Characteristics of the first 100 admissions include the following: average age, 79 years; female, 77 per cent; length of stay, 23 days; average number of admitting diagnoses, 3.4. Ninety-one new diagnoses of treatable conditions were made. On admission, 81 per cent of patients were confined to bed or chair or needed assistance with ambulation, compared with 27 per cent at discharge and 22 per cent at six months. Activities showing significant improvement include dressing, housekeeping, use of toilet, and ambulation. At six months, 15 per cent had died, 67 per cent were living in the community, and 19 per cent were institutionalized. It is concluded that care at the geriatric unit probably resulted in improved function and decreased nursing home placement.
本报告描述了在一家社区医院评估与康复科接受治疗的100名老年人入院时、出院时以及六个月后的功能状况。该科室的目标是防止那些被认为有入住养老院风险的体弱老年人被送进养老院。首批100名入院患者的特征如下：平均年龄79岁；女性占77%；住院时间23天；平均入院诊断数3.4个。共做出91项可治疗疾病的新诊断。入院时，81%的患者卧床或坐轮椅，或行走需要帮助，而出院时这一比例为27%，六个月后为22%。有显著改善的活动包括穿衣、家务劳动、使用卫生间和行走。六个月时，15%的患者死亡，67%的患者居住在社区，19%的患者被送进了养老院。结论是，老年病科的护理可能改善了功能并减少了养老院安置。
