Danbaek L, Hendriksen C
H:S Kommunehospitalet, geriatrisk afdeling RL og HL.
Ugeskr Laeger. 1997 Jan 13;159(3):302-5.
The aim of the study was to evaluate if an experienced reduction in length of stay in a geriatric department had negative influence on rehabilitation in terms of more readmissions, nursing home replacements or deaths in the first six months after discharge from the geriatric department. In a retrospective study all inpatients discharged from geriatric department RL, Kommunehospitalet, in the first six months of 1990 and 1992 respectively were evaluated. The main contributor to reduction in hospital length of stay was found to be an earlier geriatric intervention combined with shorter waiting time for transfer to the geriatric department. In the study populations we found no significant difference in the number and time of readmissions, the number of nursing home replacements or deaths in the first six months after discharge. Short length of stay is not in itself an aim of a geriatric department. We conclude that geriatric assessment should take place as soon as possible after admission to hospital and acute/subacute admission to the geriatric department is to be intensified.
本研究的目的是评估老年科住院时间的经验性缩短，在老年科出院后的头六个月内，是否会因再次入院、养老院安置或死亡人数增加而对康复产生负面影响。在一项回顾性研究中，分别对1990年和1992年头六个月从RL公社医院老年科出院的所有住院患者进行了评估。发现住院时间缩短的主要原因是早期老年干预以及转至老年科的等待时间缩短。在研究人群中，我们发现出院后头六个月的再次入院次数和时间、养老院安置人数或死亡人数没有显著差异。住院时间短本身并不是老年科的目标。我们得出结论，应在患者入院后尽快进行老年评估，并加强对老年科的急性/亚急性收治。
