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首页> 外文期刊>Royal College of Physicians of Edinburgh. Journal >Care home residents admitted to hospital through the emergency pathway: characteristics and associations with inpatient mortality , Care home residents admitted to hospital through the emergency pathway: characteristics and associations with inpatient mor
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Care home residents admitted to hospital through the emergency pathway: characteristics and associations with inpatient mortality , Care home residents admitted to hospital through the emergency pathway: characteristics and associations with inpatient mor

机译：通过紧急途径入院的养老院居民：与住院死亡率的特征和相关性，通过紧急途径入院的养老院居民：与住院死亡率的特征和相关性

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Background Routinely collected hospital information could help to understand the characteristics and outcomes of care home residents admitted to hospital as an emergency. Methods This retrospective 2-year service evaluation included first emergency admissions of any older adult (≥75 years) presenting to Cambridge University Hospital. Routinely collected patient variables were captured by an electronic patient record system. Care home status was established using an official register of care homes. Results 7.7% of 14,777 admissions were care home residents. They were older, frailer, more likely to be women and have cognitive impairment than those admitted from their own homes. Additionally, 42% presented with an Emergency Department Modified Early Warning Score above the threshold triggering urgent review, compared to 26% of older adults from their own homes. Admission from a care home was associated with higher 30-day inpatient mortality (11.1 vs 5.7%), which persisted after multivariable adjustment (hazard ratio: 1.42; 95% confidence interval: 1.09–1.83; p = 0.008). Conclusion Care home residents admitted to hospital as an emergency have high illness acuity and inpatient mortality.
机译：背景技术定期收集的医院信息可以帮助了解急诊入院的护理院居民的特征和结果。方法这项为期2年的回顾性服务评估包括就诊于剑桥大学医院的任何年龄较大（≥75岁）的成年人的首次急诊入院。常规收集的患者变量由电子病历系统捕获。养老院的地位是通过正式的养老院登记册确定的。结果14,777例入院者中有7.7％是养老院居民。他们比从自己家住来的人年龄更大，体弱，更可能是女性并且有认知障碍。此外，有42％的急诊部门修改后的预警分数高于触发紧急检查的阈值，而在家中的老年人只有26％。进入疗养院与住院30天死亡率较高（11.1比5.7％）相关，在多变量调整后仍持续存在（危险比：1.42; 95％置信区间：1.09-1.83; p = 0.008）。结论紧急情况下入院的养老院居民的疾病敏锐度和住院死亡率均很高。

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