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長期照護機構中的老人再次住院的相關因素探討

The Factors Associated with Hospital Readmissions of Elderly Residents in Longterm Care Facilities

Abstracts


The present study aimed to investigate the factors associated with hospital readmissions of the elderly residing in long-term care (LTC) facilities. A retrospective analysis of the medical records of LTC residents aged 65 years and above who were admitted to the geriatric ward of a regional teaching hospital in Southern Taiwan was carried out. After excluding patients with repeated readmissions, 191 patients were included in the analysis using logistic regression. Results showed that 14-day hospital readmission was associated with blood glucose greater than 200 mg/dl at admission (odds ratio=4.7, p <.001), abnormally high values of blood urea nitrogen (BUN) level at admission (odds ratio=2.5, p =.031), and high white blood cell count at discharge from the hospital (odds ratio =3.2, p =.019). These factors may be used in assisting hospital discharge planning to prevent the occurrence of readmission.

Parallel abstracts


The present study aimed to investigate the factors associated with hospital readmissions of the elderly residing in long-term care (LTC) facilities. A retrospective analysis of the medical records of LTC residents aged 65 years and above who were admitted to the geriatric ward of a regional teaching hospital in Southern Taiwan was carried out. After excluding patients with repeated readmissions, 191 patients were included in the analysis using logistic regression. Results showed that 14-day hospital readmission was associated with blood glucose greater than 200 mg/dl at admission (odds ratio=4.7, p <.001), abnormally high values of blood urea nitrogen (BUN) level at admission (odds ratio=2.5, p =.031), and high white blood cell count at discharge from the hospital (odds ratio =3.2, p =.019). These factors may be used in assisting hospital discharge planning to prevent the occurrence of readmission.

Parallel keywords

elderly hospital readmission long-term care

Cited by


簡惠慧(2015)。國際健康功能與身心障礙分類系統(ICF)與護理四大概念在腦中風護理照護之連結〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2015.00032
邱群芳(2015)。南部某高齡醫學中心老年病人非計畫性再住院原因之探討〔碩士論文,義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00317
邱群芳、林妙璦、李逸、蔣秀容、顧艷秋(2016)。某高齡醫學中心長者病人90天內非計畫性再住院之相關因素護理雜誌63(5),95-107。https://doi.org/10.6224/JN.63.5.95
楊月穎、陳淑銘、郭倩琳、李先茹(2014)。機構老人遷移壓力與糖尿病血糖控制之相關因素探討護理雜誌61(6),57-65。https://doi.org/10.6224/JN.61.6.57
邱群芳、周美香、周明岳、梁志光、林妙璦(2018)。探討老年病人非計畫性再住院相關因子之病例對照研究榮總護理35(1),21-32。https://doi.org/10.6142/VGHN.201803_35(1).0003

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