• 作者：Marco Inzitari^a ; ^b ; ^{minzitari@perevirgili.catsalut.net} ; Lluí ; s Espinosa Serralta^a ; Marí ; a Carmen Pé ; rez Bocanegra^c ; Marta Roqu&#232 ; Fí ; guls^b ; Josep Maria Argimó ; n Pallà ; s^d ; Joan Farré ; Calpe^a
• 关键词：Enfermedad cró ; nica ; Envejecimiento ; Atenció ; n intermedia ; Subagudos ; Hospitalizació ; n ; Urgencias ; Fragilidad ; Eficiencia
• 刊名：Gaceta Sanitaria
• 出版年：2012
• 出版时间：March-April, 2012
• 年：2012
• 卷：26
• 期：2
• 页码：166-169
• 全文大小：133 K

Objective

We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital.

Methods

A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated.

Results

Sixty-eight patients (mean age 82.6 years, 48.5 % men) were discharged from the emergency department (69.1 % ) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4 % ) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p <0.05).

Conclusions

Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization.