养老院患者转入老年医学病房。
Admission of nursing home patients to geriatric medical wards.
作者信息
Taylor I C, McConnell J G
机构信息
Department of Health Care for the Elderly, Ulster Hospital, Dundonald, Belfast.
出版信息
Ulster Med J. 1994 Oct;63(2):170-5.
Comparison was made between patients admitted from a nursing home and all other patients admitted to a geriatric medical unit in 1990 and 1993. The number of nursing home patient admissions rose from 26 in 1990 to 106 in 1993. Nursing home patients were frailer both physically and mentally with a dementia rate of 78% (in those who survived, 1993) and a mortality rate of 19.8% (1993), compared with a dementia rate of 19% and a mortality rate of 11.3% in all other admissions in 1993. Male patients admitted from a nursing home were more likely to die than females (33% versus 14.5%, 1993). Lengths of stay of nursing home patients were shorter, largely due to the availability of a 'safe environment' when discharged, but also related to shorter survival times. 61% of patient admissions from nursing homes in 1993 were considered 'unnecessary' and could have been avoided if specialist advice had been available before admission.
对1990年和1993年从养老院收治的患者与老年医学科收治的所有其他患者进行了比较。养老院患者的收治数量从1990年的26例增至1993年的106例。养老院患者在身体和精神方面更为虚弱，1993年存活患者的痴呆症患病率为78%，死亡率为19.8%，而1993年所有其他收治患者的痴呆症患病率为19%，死亡率为11.3%。从养老院收治的男性患者比女性更易死亡（1993年分别为33%和14.5%）。养老院患者的住院时间较短，这主要是因为出院时可获得“安全环境”，但也与较短的生存时间有关。1993年，61%的养老院收治患者被认为是“不必要的”，如果入院前能获得专科建议，这些收治情况本可避免。
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