Hansen F R, Spedtsberg K, Schroll M
Geriatrisk afdeling, Amtssygehuset i Roskilde.
Ugeskr Laeger. 1994 May 30;156(22):3305-7, 3310-1.
The aim of this randomized, controlled study was to evaluate a model for follow-up of patients aged 75 or more after discharge from hospital. One hundred and sixty-three patients from the intervention group were visited in their homes by a district nurse on the day after discharge from hospital and two weeks later by their general practitioner. For 181 control patients, discharge took place according to the usual procedures. One year after discharge 25 patients from the control group had been admitted to nursing homes compared to ten from the intervention group (p < 0.05). At the same time the control patients stayed 2700 days in the institutions, the intervention patients 1950 days. It is proposed to introduce this simple and practicable follow-up routine when elderly people are discharged from hospital.
这项随机对照研究的目的是评估一种针对75岁及以上患者出院后随访的模式。干预组的163名患者在出院次日由社区护士进行家访,并在两周后由其全科医生进行家访。181名对照组患者则按照常规程序出院。出院一年后,对照组有25名患者入住养老院,而干预组为10名(p<0.05)。与此同时,对照组患者在机构中停留了2700天,干预组患者为1950天。建议在老年人出院时引入这种简单可行的随访程序。