DÂHİLİ KLİNİKLERE YATAN HASTALARIN 90 GÜN İÇİNDE YENİDEN YATIŞ ORANLARININ DEĞERLENDİRİLMESİ

Year 2025, Volume: 34 Issue: 1, 86 - 92

Hatice Esen

Abstract

Dahili kliniklere yatırılan hastaların genellikle bir veya daha fazla kronik hastalığı vardır, bu da 65 yaş üstü hastalarda hastaneye tekrar yatış riskinin artmasına neden olur. Sık tekrar yatışlar, dahiliye bölümlerinde yatan kronik hastalar için önemli bir sorun haline gelmiştir. Bu çalışmada, bir eğitim ve araştırma hastanesinin dahiliye kliniklerinde yatarak sağlık hizmeti alan 65 yaş ve üzeri hastaların 90 gün içinde hastaneye yatış oranlarının ortaya konulması amaçlanmıştır. Çalışma verileri, 01.01.2021 ile 31.12.2021 tarihleri arasında değinilen hastanenin dahili kliniklerinde yatmış 65 yaş ve üzeri hastaların kayıtlarından oluşmaktadır. Çalışma grubunun yaş ortalaması 72.34±6.24 yıl olup %39.8'i kadın, %60.2'si erkektir. En yüksek hastaneye tekrar yatış oranı (%31.40) ilk bahar döneminde gerçekleşmiştir. Yaşlı bireyler hastaneye ortalama 32.72 gün içinde tekrar yatış için Kabul edilmiştir. Dahili kliniklerde yatan geriatric hastalarda 90 gün içinde tekrar hastaneye yatış oranı %45.57'dir. Her iki geriatric bireyden birinin taburcu olduktan sonraki ilk 3 ay içinde tekrar hastaneye yatırıldığı söylenebilir. Bu bağlamda hastaneye tekrar yatış oranlarının azaltılmasına yönelik politikaların dikkatle belirlenmesi önem arz etmektedir. Sağlıkta kalite standartları kapsamında izlenen göstergeler arasında “30 gün içinde hastaneye yatış oranı” bir gösterge olarak takip edilmeli ve sonuçlara gore iyileştirme çalışmalarının başlatılması önerilmektedir

Keywords

Geriatrik sağlık hizmetleri, hastane yeniden başvuruları, iç hastalıkları

EVALUATION OF THE 90-DAY RE-ADMISSION RATE OF PATIENTS ADMITTED TO INTERNAL CLINICS

Abstract

Patients admitted to internal clinics frequently present with one or more chronic diseases, which significantly elevates the risk of hospital readmission among patients aged 65 and above. Frequent readmissions have become a significant challenge for patients with chronic conditions admitted to internal medicine departments. The objective of this study was to ascertain the incidence of hospitalization within a 90-day period among patients aged 65 and above who had received inpatient healthcare services at an internal clinic within a training and research hospital. The study data comprises the records of patients aged 65 and over who were hospitalized in the internal clinics of the aforementioned hospital between 1 January 2021 and 31 December 2021. The mean age of the sample was 72.34±6.24 years, with 39.8% of the subjects being female and 60.2% male. The highest rate of readmission to the hospital was observed during the first spring period, with a rate of 31.40%. The mean length of stay for elderly individuals admitted to the hospital for readmission was 32.72 days. The rate of readmission within 90 days among geriatric patients hospitalized in internal clinics is 45.57%. It can be stated that one in every two geriatric individuals was readmitted to the hospital within the first three months following discharge. In this context, it is crucial to develop and implement effective policies to reduce hospital readmission rates. Among the indicators monitored within the scope of quality standards in health care, the rate of hospitalization within 30 days should be monitored as an indicator, and improvement studies should be initiated based on the results.

Keywords

Geriatric health services, hospital readmissions, internal medicine.

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