The early hospital readmission of elderly people
| Autor: | M.J. Ford, N.R Colledge |
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| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Time Factors 030204 cardiovascular system & hematology Social issues Patient Readmission 03 medical and health sciences 0302 clinical medicine Age Distribution Risk Factors Mental test score Elderly people Medicine Humans 030212 general & internal medicine General hospital Sex Distribution Aged Hospital readmission Emergency admission Chi-Square Distribution business.industry General Medicine Length of Stay United Kingdom Geriatrics Emergency medicine Female business |
| Zdroj: | Scottish medical journal. 39(2) |
| ISSN: | 0036-9330 |
| Popis: | Two hundred and twenty six consecutive patients aged over 75 years discharged following an acute medical admission to a district general hospital were followed up six months later. 46 (20.3%) required emergency admission within three months of discharge. 19 had a diagnosis related to their original admission, and 27 an unrelated diagnosis. The mean time to readmission was 34 days, but this was significantly shorter (21 days) in those with a related diagnosis. Those readmitted had more often required admission in the year prior to their index admission, had more comorbidities, higher use of social services, and no carer. There were no significant differences in age, gender, mental test score, length of stay, home circumstances or diagnosis. The results suggest that most readmissions are due to medical rather than social problems, and that most are unavoidable. Efforts to reduce readmissions should be directed at preventing early medical relapse in at risk patients. |
| Databáze: | OpenAIRE |
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