Seasonal variations in acute hospitalization and mortality among nursing home residents: Results from LOVE (Long-term care of Old people Via KorEan Nursing Home Network) study

被引:0
作者
Hwang, H. -J.
Kim, S. -H.
机构
[1] Kwangdong Univ, Coll Med, Kwangdong Univ Hosp, Dept Family Med, Inchon, South Korea
[2] Kwangdong Univ, Coll Med, Kwangdong Univ Hosp, Geriatr Ctr, Inchon, South Korea
基金
新加坡国家研究基金会;
关键词
Elderly; Nursing homes; Hospitalization; Pneumonia; Mortality; HIP FRACTURE; INFECTIONS; INFLUENZA;
D O I
10.1016/j.eurger.2013.01.005
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: To analyze the seasonal variation (winter, spring, summer, and autumn) of causal diseases of acute hospitalization from nursing home. Subjects and methods: We reviewed medical records of all 338 cases of acute hospitalization occurring among nursing home residents in the Korean Nursing Home Network, checking age, sex, admission day, final diagnosis, and clinical outcomes (admission to intensive care unit, mortality, duration of stay). Results: Admissions due to infectious diseases were more frequent in winter. Compared to patients without pneumonia, those with pneumonia had worse clinical outcomes. After adjustment of age, sex, and duration of hospital stay, pneumonia in winter season was associated with a higher mortality risk (Odd ratio = 2.40, 95% CI 1.01-5.67). Conclusion: During winter especially, pneumonia poses a high mortality risk in nursing homes, and large-scale prospective studies of acute diseases in nursing homes are needed. (C) 2013 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
引用
收藏
页码:172 / 175
页数:4
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