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首页> 外文期刊>Journal of Patient Experience >Patient Reports of Night Noise in Hospitals Are Associated With Unplanned Readmissions Among Older Adults
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Patient Reports of Night Noise in Hospitals Are Associated With Unplanned Readmissions Among Older Adults

机译：医院夜间噪音的患者报告与老年人的意外再入院有关

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Objective: Sleep disturbance is a key contributor to posthospital syndrome; a transient period of vulnerability following discharge from hospital. We sought to examine the relationship between patient-reported hospital quietness at night, via a validated survey, and unplanned hospital readmissions among hospitalized seniors (ages 65 and older) in Alberta, Canada. Design: Retrospective, cross-sectional analysis of survey responses, linked with administrative inpatient records. Setting: Using the Canadian Patient Experiences Survey—Inpatient Care and Discharge Abstract Database, patients aged 65 and older, and living with one or more chronic conditions were identified. Participants: Of all, 25 674 respondents discharged from hospital between April 2014 and December 2017. Main Outcome Measure: All-cause, unplanned readmission within 30 or 90 days (yes vs no). Results: Approximately half (50.5%) of the respondents reported that the area around their room was always quiet at night. Eight (8.1%) percent of respondents (2066) were readmitted within 30 days (2241 total readmissions), while 15.6% (4000) were readmitted within 90 days (5070 total readmissions). When controlling for a variety of demographic and clinical factors, patients not reporting “always” to the survey question regarding hospital quietness at night had slightly greater odds of readmission within 30 (adjusted odds ratio [aOR] ? 1.32, 95% confidence interval [CI]: 1.20-1.45) and 90 days (aOR ? 1.14, 95% CI: 1.06-1.23). Conclusion: Our results demonstrate a clear association between patient-reported hospital quietness at night and subsequent readmission within the first 30 and 90 days following discharge. Efforts to minimize hospital noise, particularly at night, may help promote a restful environment, while reducing readmissions among older patients living with chronic conditions.
机译：目的：睡眠障碍是Posthospital综合征的关键贡献者;从医院排放后漏洞的瞬态期。我们试图通过经过验证的调查，在加拿大艾伯塔省的住院老年人（65岁及以上）之间的经过验证的调查和计划生育的医院预留，审视夜间患者报告的医院安静之间的关系。设计：回顾性，调查响应的横截面分析，与行政住院记录相关联。设置：使用加拿大患者体验调查 - 住院护理和排放摘要数据库，65岁及以上的患者，并确定了一种或多种慢性病的生活。参与者：所有，25名674名受访者于2014年4月至2017年间从医院出院。主要结果措施：全部原因，30或90天内的无计划的入院（是VS No）。结果：大约一半（50.5％）的受访者报告说，他们的房间周围的区域总是在晚上安静。八（8.1％）的受访者（2066年）在30天内被重新预约（2241人总书），而在90天内预约15.6％（4000）（5070个总书）。当控制各种人口统计和临床因素时，患者未经报告到夜间医院安静的调查问题在30岁内的再次入院的几率（调整后的赔率比[AOR]？1.32,95％置信区间[CI] ]：1.20-1.45）和90天（AOR？1.14,95％CI：1.06-1.23）。结论：我们的结果展示了患者报告的医院安静在晚上和后续30天内的随后再入院的明确关联。努力尽量减少医院噪音，特别是在晚上，可能有助于促进宁静的环境，同时减少患有慢性条件的老年患者的入伍。

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