Postacute Care Following Stroke or Hip Fracture
Postacute Care Following Stroke or Hip Fracture
复制标题
中风或髋部骨折后的急性后期护理
DOI：
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发表时间：
1999
影响因子：
2.8
通讯作者：
O. Intrator
中科院分区：
文献类型：
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作者：
K. Berg;O. Intrator
目的：描述因髋部骨折或中风住院后，在INDEX事件之前相对健康且生活在社区的医疗保险受益人单独或联合使用急性后服务的情况。方法：使用Medicare Claims构建医疗服务使用历史。研究中的患者代表了1%的联邦医疗保险受益人中的所有受试者，他们在指数住院时年龄在70岁或以上。结果：从1987年到1992年，接受任何急性后护理和接受综合护理的患者比例增加。例如，有两种情况的患者的比例翻了一番，使用家庭健康或SNF和家庭健康的康复序列。在住院1年内，42.6%的中风患者和35.0%的髋部骨折后患者再次住院。讨论：应在急诊后护理的整个过程中及以后的几个月中检查资源使用和患者预后评估，以检查不同护理组合的相对有效性。
Objective: To describe the use of postacute services alone or in combination following a hospitalization for a hip fracture or stroke by Medicare beneficiaries who were relatively well and living in the community prior to the index event. Methods: Healthservice use histories were constructed using Medicare claims. Patients in the study represented all subjects from a 1% sample of Medicare beneficiaries who were age 70 years or older at the time of the index hospitalization. Results: From 1987 to 1992, the proportion of patients receiving any postacute care and those receiving combinations of care increased. For example, therewas a doubling of the proportion of patients with either condition using sequences of rehabilitation with home health or SNF and home health. Within 1 year of the hospitalization, 42.6% of patients with stroke and 35.0% post-hip fracture had been rehospitalized. Discussion: Resource use and assessment of patient outcomes should be examined across the continuum of postacute care and in the months beyond to examine the relative effectiveness of different combinations of care.