دورية أكاديمية
Functional and Cognitive Impairments Increased Risks of Outcomes of Healthcare Utilization in Patients With Stroke Receiving Home and Community-Based Care in Taiwan.
| العنوان: | Functional and Cognitive Impairments Increased Risks of Outcomes of Healthcare Utilization in Patients With Stroke Receiving Home and Community-Based Care in Taiwan. |
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| المؤلفون: | Liu LF; Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan., Wang WM; Department of Statistics, College of Management, National Cheng Kung University, Tainan, Taiwan., Wang JD; Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.; Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. |
| المصدر: | Frontiers in public health [Front Public Health] 2021 Aug 05; Vol. 9, pp. 644911. Date of Electronic Publication: 2021 Aug 05 (Print Publication: 2021). |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Editorial Office |
| مواضيع طبية MeSH: | Cognitive Dysfunction*/epidemiology , Stroke*/complications, Activities of Daily Living ; Aged ; Humans ; Middle Aged ; Patient Acceptance of Health Care ; Taiwan/epidemiology |
| مستخلص: | Aim: Stroke is a leading cause of disability; however, little is known about the outcomes of the utilization of long-term care (LTC) recipients in Taiwan. This study aimed to quantify the burdens of disease of stroke survivors receiving LTC by evaluating the outcomes of their utilization including mortality, readmissions, and re-emergency within 1 year after diagnoses of strokes. Methods: By interlinkages among the national mortality registry, LTC dataset (LTC-CM), and the National Health Insurance Research Dataset (NHIRD), the outcomes and the factors associated with receiving LTC up to 1 year were explored. Patients were aged 50 years and over with an inpatient claim of the first diagnosis of stroke of intracerebral hemorrhage (ICH) and ischemic stroke during 2011-2016. Outcomes of the healthcare utilization include rehospitalization and re-emergency. Results: There were 15,662 patients with stroke who utilized the LTC services in the dataset among the stroke population in NHIRD. Stroke survivors receiving LTC showed no difference in clinical characteristics and their expected years of life loss (EYLL = 7.4 years) among those encountered in NHIRD. The LTC recipients showed high possibilities to be rehospitalized and resent to emergency service within 1 year after diagnosis. Apart from the comorbidity and stroke severity, both the physical and mental functional disabilities and caregiving resources predicted the outcomes of the utilization. Conclusions: For stroke survivors, both severe functional impairments and cognitive impairments were found as important factors for healthcare utilizations. These results regarding reserving functional abilities deserve our consideration in making the decision on the ongoing LTC policy reform in the aged society of Taiwan. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Liu, Wang and Wang.) |
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| فهرسة مساهمة: | Keywords: long-term care; mortality; re-emergency; rehospitalization; stroke survivors |
| تواريخ الأحداث: | Date Created: 20210823 Date Completed: 20210916 Latest Revision: 20210916 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8374076 |
| DOI: | 10.3389/fpubh.2021.644911 |
| PMID: | 34422739 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-2565 |
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| DOI: | 10.3389/fpubh.2021.644911 |