Predicting outcomes of nursing home residents: death and discharge home.
Predicting outcomes of nursing home residents: death and discharge home.
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预测疗养院居民的结果：死亡和出院。
DOI：
10.1093/geronj/48.5.s269
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Graney,MJ
中科院分区：
文献类型：
--
作者：
Engle,VF;Graney,MJ
本研究的目的是记录患病率，确定领先指标，并制定和评估预测模型的养老院居民的结果（死亡，出院回家）。新的居民（N = 647）在八个疗养院进行了评估入院和3个月和6个月后。预测变量包括14个健康状况变量、5个人口统计学变量和6个其他居民和疗养院变量。癌症诊断是3个月（OR = 8.0）和6个月（OR = 10.8）时死亡的最重要风险因素。首次入住疗养院是3个月（OR = 9.5）和6个月（OR = 13.9）时出院回家的最重要危险因素。没有痴呆诊断是第二个最重要的危险因素出院回家3个月（OR =5.8）和6个月（OR = 4.2）。所有预测模型均具有临床应用潜力。
The purpose of this study was to document prevalence, identify leading indicators, and develop and assess prediction models for nursing home resident outcomes (death, discharge home). New residents (N = 647) in eight nursing homes were evaluated on admission and 3 and 6 months later. Predictor variables tested included 14 health status variables, 5 demographic variables, and 6 other resident and nursing home variables. A cancer diagnosis was the most important risk factor for death at 3 months (OR = 8.0) and 6 months (OR = 10.8). A first nursing home admission was the most important risk factor for discharge to home at 3 months (OR = 9.5) and 6 months (OR = 13.9). Not having a dementia diagnosis was the second most important risk factor for discharge to home at 3 months (OR =5.8) and 6 months (OR = 4.2). All prediction models demonstrated useful potential for clinical application.