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題名 Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan 作者 Liu, Chia-Yih
劉嘉逸
Tsai, Hsiu-Hsin;
Tsai, Yun-Fang貢獻者 心理系 關鍵詞 Repeated hospital transfer; nursing home residency 日期 2016-11 上傳時間 15-Dec-2016 16:10:15 (UTC+8) 摘要 Background : Nursing home residents` repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents’ symptoms over their nursing home residency and its relationship to hospital transfer. Aim : The purpose of this retrospective chart-review study was to examine associations between nursing home residents’ characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. Design : For this retrospective study, we reviewed 583 residents’ charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. Results : About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or ≥4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (χ2 = 13.03, P = .01), and fractures (χ2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (χ2 = 13.01, P = .01) and tube problems (χ2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. Conclusion : To decrease the chance of residents’ hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes. 關聯 Journal of the American Medical Directors Association, Volume 17, Issue 11, Pages 1020–1024 資料類型 article DOI http://dx.doi.org/10.1016/j.jamda.2016.06.019 dc.contributor 心理系 - dc.creator (作者) Liu, Chia-Yih - dc.creator (作者) 劉嘉逸 zh_TW dc.creator (作者) Tsai, Hsiu-Hsin; en_US dc.creator (作者) Tsai, Yun-Fang en_US dc.date (日期) 2016-11 - dc.date.accessioned 15-Dec-2016 16:10:15 (UTC+8) - dc.date.available 15-Dec-2016 16:10:15 (UTC+8) - dc.date.issued (上傳時間) 15-Dec-2016 16:10:15 (UTC+8) - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/104944 - dc.description.abstract (摘要) Background : Nursing home residents` repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents’ symptoms over their nursing home residency and its relationship to hospital transfer. Aim : The purpose of this retrospective chart-review study was to examine associations between nursing home residents’ characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. Design : For this retrospective study, we reviewed 583 residents’ charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. Results : About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or ≥4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (χ2 = 13.03, P = .01), and fractures (χ2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (χ2 = 13.01, P = .01) and tube problems (χ2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. Conclusion : To decrease the chance of residents’ hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes. - dc.format.extent 109 bytes - dc.format.mimetype text/html - dc.relation (關聯) Journal of the American Medical Directors Association, Volume 17, Issue 11, Pages 1020–1024 - dc.subject (關鍵詞) Repeated hospital transfer; nursing home residency - dc.title (題名) Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan - dc.type (資料類型) article - dc.identifier.doi (DOI) 10.1016/j.jamda.2016.06.019 - dc.doi.uri (DOI) http://dx.doi.org/10.1016/j.jamda.2016.06.019 -
