Outcomes and costs after hip fracture and stroke - A comparison of rehabilitation settings
Outcomes and costs after hip fracture and stroke - A comparison of rehabilitation settings
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DOI：
10.1001/jama.277.5.396
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发表时间：
1997-02-05
影响因子：
120.7
通讯作者：
Eckhoff, DG
中科院分区：
文献类型：
--
作者：
Kramer, AM;Steiner, JF;Eckhoff, DG
目的：-评估入住康复医院、亚急性疗养院和传统养老院的老年患者的结果和费用是否不同。设计-按提供者类型分层并前瞻性跟踪6个月的初始队列。设置。-来自17个州的92个以医院为基础的单位和独立设施。患者。-从1991年11月至1994年2月收治的总共518名髋部骨折患者和485名中风患者。主要观察指标。-在比较社区居住地、5项日常生活活动(ADL)、医疗保险费用以及治疗和就诊次数的6个月时的恢复情况。结果：在入院时，康复医院的患者更有可能接受康复治疗(P
Objective.-To assess whether outcomes and costs differ for elderly patients admitted to rehabilitation hospitals, subacute nursing homes, and traditional nursing homes.Design.-Inception cohort stratified by provider type and followed prospectively for 6 months.Setting.-A total of 92 hospital-based units and freestanding facilities from 17 states.Patients.-A total of 518 randomly selected patients with hip fracture and 485 stroke patients admitted from November 1991 to February 1994.Main Outcome Measures.-At 6 months comparing community residence, recovery to premorbid levels in 5 activities of daily living (ADLs), Medicare costs, and the number of therapy and physician visits. Outcomes were adjusted for premorbid residence and function, caregiver availability, comorbid illness, admission function, cognition, depression, sensory deficits, and mobility impairments.Results.-On admission, rehabilitation hospital patients were more likely (P