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| Original Article | |||||
| Dementia and Neurocognitive Disorders 2009: 8: 1: 28-36 | |||||
| 노인병원 입원 환자들의 임상적 특징 및 경과: 600명의 단일 병원 등록 환자 분석 | |||||
|---|---|---|---|---|---|
| 김수연∙김진혁*∙유경호†∙권기한†∙정 산†∙신준현†∙안병철*∙이현옥*∙ 최성남‡∙함 웅§∙김대훈‖ | |||||
| 서울대학교 의과대학 신경과학교실 계요의료재단 계요노인병원 신경과*,내과‡, 정신과§ 한림대학교 의과대학 신경과학교실† 송도효자병원 신경과‖ |
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| The Clinical Features and Hospital Courses of Patients Admitted to a Geriatric Hospital: Analysis of 600 Registered Cases | |||||
| Su-Yeon Kim, M.D., Jin-Hyuck Kim, M.D.*, Kyung-Ho Yu, M.D., Ph.D.†, Ki-Han Kwon, M.D.†, San Jung, M.D.†, Joon Hyun Shin, M.D.†, Byeong Cheol Ahn, M.D.*, Hyeon Ok Lee, M.D.*, Seongman Choi, M.D.‡, Woong Hahm, M.D., Ph.D.§, Dae Hoon Kim, M.D.‖ | |||||
| Department of Neurology, Seoul National University College of Medicine, Seoul; Departments of Neurology*, Internal Medicine‡, and Psychiatry§, Keyo Medical Foundation, Keyo Geriatric Hospital, Uiwang; Department of Neurology†, Hallym University College of Medicine, Seoul; Department of Neurology‖, Songdo Hyoja Geriatric Hospital, Incheon, Korea |
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| Background: The proportion of the elderly population has rapidly increased in Korea. Many elderly patients with chronic disease have been managed in geriatric hospitals, however, there has been few data on the patient’s clinical information admitted to geriatric hospital. We investigated clinical features of patients admitted to a geriatric hospital and registered in the Keyo Geriatric Registry (KGR). Methods: All patients admitted to Keyo geriatric hospital between February 2004 and June 2006 were included. We analyzed demographic features, clinical diagnosis, admission and discharge status and in-hospital complications and death until December 2007. Results: Six hundreds cases were registered on KGR. Among these cases, 60.5% had hypertension, 30.8% diabetes and 14.0% congestive heart failure. Patients of dementia and stroke group were most common and 37.3% and 30.2%, respectively. Mean duration of admission was 6.5 month. Incidence of medical complication was 44% and pneumonia (31.5%) was the most common and followed by urinary tract infection (15.3%), gastrointestinal bleeding (9.0%) and sepsis (7.0%). Forty four percent of the cases discharged to their home and 16% to the general hospital. The cumulative discharge rates during 3, 6, and 12, months were 61.7%, 70.8%, and 82.0%, respectively. The cumulative death rate during 3, 6, and 12 months were 15.5%, 20.1%, and 34.7%, respectively. Conclusions: The KGR provide useful epidemiologic data and clinical characteristics of patients admitted to the geriatric hospital. Further studies have to be continued in the multi-center geriatric hospitals. | |||||
| Key Words: Geriatric hospital, Registry, Dementia, Stroke, Survival | |||||
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