• 作者：E. Castellano Vela^a ; ^{castellano_enr@gva.es} ; F. Gó ; mez Pajares^b ; A. Rochina Puchades^a ; M. Gil Egea^a
• 关键词：Actividades de la vida diaria ; Unidad de media estancia ; Nueva institucionalizació ; n al alta ; Ancianos ; Valoració ; n geriá ; trica integral ; Rehabilitació ; n
• 刊名：Revista Cl铆nica Espa帽ola
• 出版年：2010
• 期刊代码：pca307_00142565
• 类别：med
• 出版时间：January 2010
• 卷：210
• 期：1
• 页码：1-10
• 文件大小：225 K

Background and objectives

To determine which factors are associated with a functional gain above 19 on Barthel's index (CSFG) and also factors associated with a new post-discharge institutionalisation (NPDI) in patients who a underwent rehabilitation intervention whilst admitted to a medium long term care unit.

Patients and methods

Prospective study of patients admitted between 2000 and 2005 who underwent a rehabilitation intervention. Demographic, mind-body and laboratory data were collected.

Results

153 patients were selected for the first aim and 148 for the second. 53.3%of the patients achieved a CSFG. The incidence of NPDI was of 23.7%. The following factors were associated with a CSFG in the multivariate analysis: age (OR: 0.95), female gender (OR: 0.35), rehabilitation objective at admission (OR: 7.43), infectious disease as primary diagnosis (OR: 10.35), mild dependence at admission (OR: 0.09), absence of malnutrition (OR: 3.12), high comorbidity (OR: 0.31), need of wound care (OR: 0.36) and ansiolitic intake at admission (OR: 9.11). Likewise, the following factors were associated with the occurrence of a NPDI: age (OR: 1.12), long-term care objective at admission (OR: 7.84), chronic lung disease (OR: 0.29), number of drug prescriptions at admission (OR: 0.82), neuroleptic intake at admission (OR: 7.42), living with relatives (OR: 0.29) and nosocomial infection during the hospital stay (OR: 2.99).

Conclusions

Several factors have been associated to CSFG and NPDI and they would be useful to optimise rehabilitation resources and to plan post-discharge institutional transfer.