Early discharge of hip fracture patients from hospital: Transfer of costs from hospital to nursing home
Early discharge of hip fracture patients from hospital: Transfer of costs from hospital to nursing home
复制标题
髋部骨折患者提前出院：费用从医院转移到疗养院
DOI：
10.1080/000164702321022749
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
J. Habbema
中科院分区：
文献类型：
--
作者：
R. Balen;E. Steyerberg;H. Cools;J. Polder;J. Habbema
髋部骨折患者占用的病床越来越多。处理这一问题的战略之一是尽早出院，到有康复设施的机构。我们研究了早期出院是否会影响结果和成本。对208例老年髋部骨折患者进行了4个月的随访。首先，一组102名患者在我们医院停留了通常的时间（中位数18天）。然后，106名患者被分配到一组提前出院（中位数11天）。我们在住院后1周、1个月和4个月测量残疾、健康相关生活质量和认知。为了计算总社会成本，在这4个月期间记录住院天数、机构内外专业人员的努力以及干预/检查。在4个月时，我们发现死亡率、ADL水平、并发症、生活质量和居住类型没有差异。早期出院组中更多的患者出院到有康复设施的疗养院（76%对53%），但住院和疗养院的中位总住院时间相同（26天）。提前出院并没有实质性地减少总费用（常规管理]每名患者15，338美元，提前出院]每名患者14，281美元），而只是将他们从医院转移到疗养院。
Hip fracture patients occupy more and more hospital beds. One of the strategies for coping with this problem is early discharge from the hospital to institutions with rehabilitation facilities. We studied whether early discharge affects outcome and costs. 208 elderly patients with a hip fracture were followed up to 4 months after the fracture. First, a group of 102 patients stayed in our hospital for the usual period (median 18 days). Then, 106 patients were assigned to a group for early discharge (median 11 days). We measured disabilities, health-related quality of life and cognition at 1 week, 1, and 4 months after hospitalization. To calculate total societal costs, inpatient days, the efforts of professionals in- and outside institutions, and interventions/examinations were recorded during this 4-month period. At 4 months, we found no differences in mortality, ADL level, complications, quality of life, and type of residence. More patients in the early discharge group were discharged to nursing homes with rehabilitation facilities (76% versus 53%), but the median total stay in hospital and nursing home was the same (26 days). Early discharge from hospital did not substantially reduce the total costs (conventional management ] 15,338 per patient and early discharge ] 14,281 per patient), but merely shifted them from the hospital to the nursing home.
DOI：
10.1055/s-2005-919113
发表时间：
2005-05
期刊：
Orthopedic Trauma Directions
影响因子：
--
作者：
Grace L. Lu-Yao;R. Keller;B. Littenberg;J. Wennberg
通讯作者：
Grace L. Lu-Yao;R. Keller;B. Littenberg;J. Wennberg
头下骨折老年人手术过程的预测因素及其对功能恢复的影响。
DOI：
10.1093/gerona/51a.4.m158
发表时间：
1996
期刊：
The journals of gerontology. Series A, Biological sciences and medical sciences
影响因子：
--
作者：
Young,Y;German,P;Brant,L;Kenzora,J;Magaziner,J
通讯作者：
Magaziner,J
影响因子：
4.1
作者：
Melton, LJ
通讯作者：
Melton, LJ