Bergemann W, Tölle H
V. Innere Abteilung Schwerpunkt Geriatrie des Krankenhauses Neukölln, Akademisches Lehr-Krankenhaus.
Z Gerontol. 1994 Jul-Aug;27(4):276-84.
We analyzed data of our clinic by a computer program for discharge letters developed by us. Structure of patients, types of diseases, and success in rehabilitation were recorded. The average age of our patients was 80 years. The biggest group have been the 80-85 years old ones. Two-thirds have been female. Our department is divided into three sections. Admissions made to the section treating patients with acute diseases were made in two-thirds of the cases from surgeries and in one-third from accidents. The section where patients are rehabilitated received only patients who had been admitted before. Two-thirds of them were suffering from surgical diseases (especially orthopedic/traumatic problems). One-third from medical or neurological diseases--especially stroke. In the section for long-term treatment we transferred patients with chronic diseases, mainly from our own sections for acute care and rehabilitation. Twenty percent came from other departments and other hospitals. Discharge: Fifty-one percent of patients treated in the section for acute care were discharged. More than one-fourth were transferred to the section for long-term treatment. Thirteen percent died. Two-thirds of the rehabilitated patients were discharged home. Sixteen percent were treated long-term; about seven percent died. From our section for long-term treatment one-third of the patients were discharged home. Nineteen percent were discharged to nursing homes or other homes for seniors. Forty-one percent died. Younger patients could more likely be discharged without home nursing care and to a household with other members. More than fifty percent of patients of 80 years and older lived alone and required homecare.(ABSTRACT TRUNCATED AT 250 WORDS)
我们使用自行开发的用于出院小结的计算机程序分析了本诊所的数据。记录了患者结构、疾病类型和康复情况。我们患者的平均年龄为80岁。最大的群体是80至85岁的患者。三分之二为女性。我们科室分为三个部分。三分之二急性病患者的收治来自手术,三分之一来自事故。康复科室只接收之前已入院的患者。其中三分之二患有外科疾病(尤其是骨科/创伤问题)。三分之一患有内科或神经疾病——尤其是中风。在长期治疗科室,我们接收患有慢性病的患者,主要来自我们自己的急性护理和康复科室。20%来自其他科室和其他医院。出院情况:急性护理科室中51%的患者出院。超过四分之一的患者被转至长期治疗科室。13%的患者死亡。三分之二的康复患者出院回家。16%的患者接受长期治疗;约7%的患者死亡。长期治疗科室三分之一的患者出院回家。19%的患者被送往养老院或其他老年之家。41%的患者死亡。年轻患者更有可能无需家庭护理出院,并回到有其他家庭成员的家庭。80岁及以上的患者中超过50%独自生活且需要家庭护理。(摘要截选至250字)