原创力文档acute hospital admissions among nursing home residents a population-based observational study急性住院护理之家居民以人群为基础的观察研究.pdfVIP
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acute hospital admissions among nursing home residents a population-based observational study急性住院护理之家居民以人群为基础的观察研究
Graverholt et al. BMC Health Services Research 2011, 11:126
/1472-6963/11/126
RESEARCH ARTICLE Open Access
Acute hospital admissions among nursing home
residents: a population-based observational study
1,2,5* 2 1,3 4 5 1,5
Birgitte Graverholt , Trond Riise , Gro Jamtvedt , Anette H Ranhoff , Kjell Krüger and Monica W Nortvedt
Abstract
Background: Nursing home residents are prone to acute illness due to their high age, underlying illnesses and
immobility. We examined the incidence of acute hospital admissions among nursing home residents versus the
age-matched community dwelling population in a geographically defined area during a two years period. The
hospital stays of the nursing home population are described according to diagnosis, length of stay and mortality.
Similar studies have previously not been reported in Scandinavia.
Methods: The acute hospitalisations of the nursing home residents were identified through ambulance records.
These were linked to hospital patient records for inclusion of demographics, diagnosis at discharge, length of stay
and mortality. Incidence of hospitalisation was calculated based on patient-time at risk.
Results: The annual hospital admission incidence was 0.62 admissions per person-year among the nursing home
residents and 0.26 among the community dwellers. In the nursing home population we found that dominant
diagnoses were respiratory diseases, falls-related and circulatory diseases, accounting for 55% of the cases. The
median length of stay was 3 days (interquartile range = 4). The in-hospital mortality rate was 16% and 30 day
mortality after discharge 30%.
Conclusion: Acute hospital admission rate among nursing home residents was h
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