Hospital admissions among people 65+related to multimorbidity, municipal and outpatient care
Hospital admissions among people 65+related to multimorbidity, municipal and outpatient care
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DOI：
10.1016/j.archger.2007.02.005
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发表时间：
2008-01-01
影响因子：
4
通讯作者：
Hallberg, Ingalill R.
中科院分区：
文献类型：
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作者：
Condelius, Anna;Edberg, Anna-Karin;Hallberg, Ingalill R.
本研究旨在调查 65 岁以上人群一年内计划入院和急性入院的数量及其与市政护理、门诊护理、多种疾病、年龄和性别的关系。对 2001 年期间有过一次或多次入院记录的 4907 名个人进行了研究。从两个登记处收集数据，并对住院一次、两次和三次或以上的患者以及接受和未接受市政护理和服务的患者进行比较。使用线性回归来检查预测急性入院和计划入院数量的因素。 15% 的样本患者住院 3 次或以上（范围 3-15 次），占所有入院人数的 35%。与一次入院 (md: 8) 或两次入院 (md: 11) 的患者相比，该组在门诊护理中与医生的接触次数明显更多（接触次数中位数 (md) = 15）。入院人数的主要预测因素是诊断组的数量和门诊医生的接触次数。经常入院的人群构成住院医疗消耗量大、门诊接触频繁的一小部分人群。因此，需要针对频繁入院的干预措施，这需要门诊和医院护理之间的合作。 (C) 2007 Elsevier Ireland Ltd. 保留所有权利。
This study aimed at examine the number of planned and acute hospital admissions during 1 year among people 65+ and its relation to municipal care, outpatient care, multimorbidity, age and sex. Four thousand nine hundred and seven individuals having one or more admissions during 2001 were studied. Data were collected from two registers and comparisons were made between those having one, two and three or more hospital stays and between those with and without municipal care and services. Linear regression was used to examine factors predicting number of acute and planned admissions. Fifteen percent of the sample had three or more hospital stays (range 3-15) accounting for 35% of all admissions. This group had significantly more contacts in outpatient care with physician (median number of contacts (md) = 15), compared to those with one (md: 8), or two admissions (md: 11). Main predictors for number of admissions were number of diagnosis groups and number of contacts with physician in outpatient care. Those who are frequently admitted to hospital constitute a small group that consume a great deal of inpatient care and also tend to have frequent contacts in outpatient care. Thus interventions focusing on frequent admissions are needed, and this requires collaboration between outpatient and hospital care. (C) 2007 Elsevier Ireland Ltd. All rights reserved.