Socioeconomic status and hospitalization in the very old: a retrospective study.
Socioeconomic status and hospitalization in the very old: a retrospective study.
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非常古老的社会经济地位和住院：一项回顾性研究。
DOI：
10.1186/1471-2458-7-227
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发表时间：
2007-08-31
影响因子：
4.5
通讯作者：
Perucci, Carlo A.
中科院分区：
文献类型：
--
作者：
Antonelli-Incalzi, Raffaele;Ancona, Carla;Forastiere, Francesco;Belleudi, Valeria;Corsonello, Andrea;Perucci, Carlo A.
社会经济地位可能影响对医院护理的需求。本研究的目的是评估年龄、社会经济地位和合并症在老年人急性住院中的作用。我们回顾性地检查了1997-2000年期间罗马75岁及以上的急性护理住院居民的出院摘要数据。我们使用罗马医院信息系统、税务登记簿和罗马人口登记簿来获取社会经济数据。获得人口普查区的住院率、修正Charlson合并症指数和收入水平。计算比率比和95%置信限来评估收入十分位数与住院率之间的关系。交叉表被用来探索共病指数按收入十分位数的分布。对所选疾病分组的患者重复分析。年龄与住院率的轻微增加有关。然而，无论男女，住院率都与收入成反比。高收入与低合并症相关。在主要诊断为慢性疾病（糖尿病、心力衰竭、慢性阻塞性肺疾病）或中风的患者中也观察到同样的关联，但没有观察到髋部骨折。较低的社会地位和相关的合并症（而不是年龄本身）与高龄患者较高的住院率有关。
Socioeconomic status could affect the demand for hospital care. The aim of the present study was to assess the role of age, socioeconomic status and comorbidity on acute hospital admissions among elderly. We retrospectively examined the discharge abstracts data of acute care hospital admissions of residents in Rome aged 75 or more years in the period 1997–2000. We used the Hospital Information System of Rome, the Tax Register, and the Population Register of Rome for socio-economic data. The rate of hospitalization, modified Charlson's index of comorbidity, and level of income in the census tract of residence were obtained. Rate ratios and 95% confidence limits were computed to assess the relationship between income deciles and rate of hospitalization. Cross-tabulation was used to explore the distribution of the index of comorbidity by deciles of income. Analyses were repeated for patients grouped according to selected diseases. Age was associated with a marginal increase in the rate of hospitalization. However, the hospitalization rate was inversely related to income in both sexes. Higher income was associated with lower comorbidity. The same associations were observed in patients admitted with a principal diagnosis of chronic condition (diabetes mellitus, heart failure, chron obstructive pulmonary disease) or stroke, but not hip fracture. Lower social status and associated comorbidity, more than age per se, are associated with a higher rate of hospitalization in very old patients.
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影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
影响因子：
5
作者：
Huang, ZP;Himes, JH;McGovern, PG
通讯作者：
McGovern, PG
影响因子：
2.8
作者：
Bacon, WE;Hadden, WC
通讯作者：
Hadden, WC
影响因子：
105.7
作者：
Dixon, T;Shaw, M;Ebrahim, S
通讯作者：
Ebrahim, S
影响因子：
5.4
作者：
Knesebeck, Olaf von dem;Verde, Pablo E.;Dragano, Nico
通讯作者：
Dragano, Nico