Hospital admissions, age, and death: retrospective cohort study
Hospital admissions, age, and death: retrospective cohort study
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DOI：
10.1136/bmj.38072.481933.ee
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发表时间：
2004-05-29
影响因子：
105.7
通讯作者：
Ebrahim, S
中科院分区：
文献类型：
--
作者：
Dixon, T;Shaw, M;Ebrahim, S
人口老龄化可能增加医院急诊服务的负担，因为许多常见病随着年龄的增长而显著增加。我们的目的是在全国医院死亡样本中检查年龄与死亡前期间医院急性服务的使用之间的关系。设计对英国医院事件统计数据库进行回顾性队列分析。设置英格兰所有NHS医院。数据集1999-2000财政年度在英国国民保健制度医院发生的所有新生儿后死亡，前三年的护理情况通过性别、出生日期和邮政编码的匹配确定。主要观察指标：总住院天数、平均和中位住院时间。结果发现住院死亡253 799例，约占1999-2000年住院死亡总数的45%。在医院死亡的患者在死亡前三年的住院时间中位数为23天；中位数随着年龄的增长而上升，直到45岁，但在45岁及以上的人群中相当稳定。在死亡前三年到NHS医院就诊的人数平均为3.6人；在5-9岁的患者中，这一数值最高为10.4，而在85岁及以上的患者中，这一数值随着年龄的增长而下降。结论死亡前平均住院天数不随年龄增长而增加。
Objectives Ageing of the population brings the possibility of increased burdens for acute hospital services because of the marked increase in many common diseases with age. We aimed to examine the relation between age and use of acute services in hospitals in the period before death in a national sample of deaths in hospital.Design Retrospective cohort analysis of English hospital episode statistics database.Setting All NHS hospitals in England.Data set All post-neonatal deaths occurring in English NHS hospitals during financial year 1999-2000, with episodes of care in the previous three years determined through matching on sex, date of birth, and postcode.Main outcome measures Total bed days, mean and median length of stay.Results 253 799 in-hospital deaths were identified, representing about 45% of all deaths occurring in 1999-2000. Patients who died in hospital spent a median of 23 days in hospital in the three years before death; the median rose with age up to 45 years, but was fairly stable for ages 45 and above. The number of admissions to NHS hospitals in die three years before death averaged 3.6; this peaked at 10.4 in patients aged 5-9 years and decreased with age to in those aged 85 and over.Conclusions The average number of bed days spent in hospital in the period before death does not increase with increasing age.