[Relation between destination on discharge in the elderly patients and comprehensive geriatric assessment at admission in the ward of the Geriatric Department of University Hospital].
[Relation between destination on discharge in the elderly patients and comprehensive geriatric assessment at admission in the ward of the Geriatric Department of University Hospital].
复制标题
大学附属医院老年科病房老年患者出院目的地与入院老年综合评估的关系[J].
DOI：
10.3143/geriatrics.39.75
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
A. Iguchi
中科院分区：
文献类型：
--
作者：
H. Umegaki;H. Nomura;Akira Nakamura;F. Ando;H. Shimokata;Sayaka Yamamoto;M. Kuzuya;A. Iguchi
为了确定与名古屋大学医院老年病房出院目的地相关的因素，我们分析了入院时老年综合评估分数与居家患者目的地之间的关系。转院患者的基本日常生活活动（Barthel指数）、工具性日常生活活动（Lowton量表）和认知功能（简易精神状态检查）得分均显着低于回家患者。搬到机构的患者在巴塞尔指数中除饮食外的所有项目以及洛顿量表中除洗涤外的所有项目上的残疾比例均显着高于返回家中的患者。简易精神状态检查中的空间方位、计算、绘图等都与目的地有关。在社交生活的项目中，沟通和群体行为与目的地相关。在多重逻辑回归模型中，表明日常生活活动，特别是排泄的独立性和沟通能力与出院目的地显着相关。
To determine the factors related to the destination on discharge from the geriatric ward of Nagoya University Hospital, we analyzed the relationship between the scores of comprehensive geriatric assessment at admission and the destination in patients who had dwelled in home. The scores of basic activity of daily living (Barthel index), instrumental activity of daily living (Lowton scale), and cognitive function (Mini-Mental State Examination) were significantly lower in the patients who moved to institutions than those in the patients who returned home. The proportion of disabilities in all items, except eating, in the Barthel index, and all items but washing in the Lowton scale were significantly higher in patients who moved to institutions than in patients who returned home. Space orientation, calculation, and drawing in the Mini-Mental State Examination were related to the destination. In items for social life communication and group behavior were related to the destination. In multiple logistic regression models, it was suggested that activity of daily living, specifically independence of excretion, and ability in communication were significantly related to the destination on discharge.