APPROPRIATENESS OF PATIENT TRANSFER FROM A NURSING-HOME TO AN ACUTE-CARE HOSPITAL - A STUDY OF EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS
APPROPRIATENESS OF PATIENT TRANSFER FROM A NURSING-HOME TO AN ACUTE-CARE HOSPITAL - A STUDY OF EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS
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DOI：
10.1111/j.1532-5415.1991.tb03568.x
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发表时间：
1991-12-01
影响因子：
6.3
通讯作者：
CLARFIELD, AM
中科院分区：
文献类型：
--
作者：
BERGMAN, H;CLARFIELD, AM
目标：为了确定从护理之家转移到急性护理医院的适当性。设计：回顾性分析了3年研究期间所有护理之家居民的护理之家和医院记录，以确定：转移的数量和类型;在护理之家发现的证明转移的问题;在医院做出的诊断;住院时间的长短;医院就诊的结果。设置：一个80张床位的公共养老院。主题：112居民在养老院超过3年的研究periods.Main结果措施：根据医院医生的决定，这些转让导致入院被认为是适当的。 以及，转移到急诊室返回到疗养院没有入院也被认为是适当的，如果问题需要的诊断和治疗程序不可用在nursing.Results：在3年的研究期间，55名居民（49%）被转移共102次。 每年平均有26%的病人被转移。 直接入院到急性医院占17%的转移，转移到急诊室，随后入院的占34%，转移到急诊室，随后返回疗养院而不入院的占45%。 4%的病人在急诊室死亡。 结果的措施，7%的所有转让的基础上，可以被诊断和治疗的护理home.Conclusions被认为是不适当的：大多数从这个护理之家转移到急性护理医院是适当的。
Objective: To determine the appropriateness of transfers to acute care hospitals from a nursing home.Design: Nursing home and hospital records of all the nursing home residents during the 3-year study period were reviewed retrospectively to determine: number and type of transfers; problems identified in the nursing home justifying the transfers; diagnoses made at the hospitals; length of hospital stays; outcome of hospital visits.Setting: An 80-bed public nursing home.Subjects: 112 residents in the nursing home over the 3-year study period.Main Outcome Measures: Based on the decision of the hospital physician, those transfers resulting in hospital admissions were considered appropriate. As well, transfers to the emergency room with return to the nursing home without hospital admission were also judged to be appropriate if the problems required diagnostic and therapeutic procedures not available in the nursing home.Results: During the 3-year study period, 55 residents (49%) were transferred a total of 102 times. An average of 26% of patients were transferred each year. Direct admissions to acute hospitals accounted for 17% of the transfers, transfers to the emergency room with subsequent admission for 34%, and transfers to the emergency room with subsequent return to the nursing home without admission for 45%. Four percent of patients transferred died in the emergency room. On the basis of the outcome measure, 7% of all transfers could have been diagnosed and treated in the nursing home and were considered inappropriate.Conclusions: The majority of transfers from this nursing home to acute-care hospitals were appropriate.