Karppi P, Tilvis R
University of Helsinki, Finland.
Scand J Soc Med. 1997 Mar;25(1):4-7. doi: 10.1177/140349489702500102.
The purpose of this study was to identify predictors of mortality and institutionalization in aged patients receiving Finnish supervised home care. The study was carried out in Central Finland, whose area and population is 5% of the total of the country. The subjects consisted of a sample of 312 patients (65 years or more). They were originally assembled to assess the effectiveness of a geriatric inpatient unit, the results of which have been published previously. Deaths were ascertained over at least three years and long-term care institutionalization over two years. The most powerful predictor of mortality was impaired ADL functioning. Predictors of long-term institutional care were impaired ADL functioning, impaired cognition and depression. These data may be helpful in resource allocation and targeting patients for the supervised home care programmes.
本研究的目的是确定接受芬兰居家照护监管的老年患者的死亡率和机构化预测因素。该研究在芬兰中部进行，其面积和人口占全国总数的5%。研究对象为312名患者（65岁及以上）的样本。他们最初是为评估老年住院病房的有效性而召集的，相关结果已在之前发表。至少随访三年以确定死亡情况，随访两年以确定长期护理机构化情况。死亡率的最强预测因素是日常生活活动能力受损。长期机构护理的预测因素是日常生活活动能力受损、认知功能受损和抑郁。这些数据可能有助于资源分配以及为居家照护监管项目确定目标患者。
