Causes for Hospitalization of Nursing Home Residents: The Role of Infection
Causes for Hospitalization of Nursing Home Residents: The Role of Infection
复制标题
疗养院居民住院的原因：感染的作用
DOI：
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发表时间：
1984
影响因子：
6.3
通讯作者：
K. Crossley
中科院分区：
文献类型：
--
作者：
P. Irvine;N. Buren;K. Crossley
对于导致疗养院患者住院的具体临床条件知之甚少。为了探讨这一点，作者调查了128名疗养院居民的住院情况，并将他们与320名门诊病人的住院情况进行了比较。住院的疗养院患者年龄较大，就诊频率更高，入院时有更多非特异性抱怨。疗养院病人住院最频繁的原因是循环系统疾病（16%）、呼吸系统疾病（14%）和泌尿生殖系统疾病（12%）；门诊病人，循环系统疾病（25%）和神经系统疾病（10%），肿瘤（10%），症状和体征不明确的情况（10%）。所有病人住院的最常见原因是循环系统疾病（23%）、神经系统疾病（10%）和肿瘤（10%）。在疗养院的患者中，感染导致的入院率（27%）大大高于诊所的患者（12%;P < 0.001）。这些发现揭示了降低医疗保健成本和提高养老院生活质量的重要机会，特别是通过治疗和控制感染。
Little is known about specific clinical conditions that lead to hospitalization of nursing home patients. To explore this, the authors examined the hospitalizations of 128 nursing home residents and compared them with hospitalizations of 320 patients from the outpatient clinic. Hospitalized nursing home patients were older, were admitted to medical services more frequently, and had more nonspecific complaints on admission. Nursing home patients were hospitalized most frequently for diseases of the circulatory system (16 per cent), respiratory system (14 per cent), and genitourinary system (12 per cent); clinic patients, for diseases of the circulatory system (25 per cent) and nervous system (10 per cent), neoplasms (10 per cent), and signs and symptoms of ill‐defined conditions (10 per cent). The most frequent causes of hospitalization for all patients were diseases of the circulatory system (23 per cent), nervous system (10 per cent), and neoplasms (10 per cent). Among patients from the nursing home, infections caused substantially more admissions (27 per cent) than among patients originating from clinic (12 per cent; P < 0.001). These findings disclose an important opportunity to reduce health care costs and enhance quality of life in the nursing home, particularly through the treatment and control of infections.