Acute hospital admissions among nursing home residents: a population-based observational study

被引：91

作者：

Graverholt, Birgitte ^{[1
,2
,6
]}

Riise, Trond ^{[2
]}

Jamtvedt, Gro ^{[1
,3
]}

Ranhoff, Anette H. ^{[4
,5
]}

Krueger, Kjell ^{[6
]}

Nortvedt, Monica W. ^{[1
,6
]}

机构：

[1] Bergen Univ Coll, Ctr Evidence Based Practice, N-5020 Bergen, Norway

[2] Univ Bergen, Dept Publ Hlth & Primary Hlth Care, Bergen, Norway

[3] Norwegian Knowledge Ctr Hlth Serv, Oslo, Norway

[4] Haraldsplass Hosp, Kavlis Res Ctr Ageing & Dementia, Bergen, Norway

[5] Univ Bergen, Inst Med, Bergen, Norway

[6] Municipal Bergen, Lovasen Teaching Nursing Home, Bergen, Norway

来源：

BMC HEALTH SERVICES RESEARCH | 2011年 / 11卷

关键词：

homes for the aged nursing home; hospitalisation; patient admission; EMERGENCY-DEPARTMENT; CARE; VISITS; PEOPLE;

D O I：

10.1186/1472-6963-11-126

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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 high in this Scandinavian setting. The pattern of diagnoses causing the admissions appears to be consistent with previous research. The in-hospital and 30 day mortality rates are high.

引用

页数：8

共 23 条

[21] Hospitalization rates of nursing home residents and community-dwelling seniors in British Columbia [J].