derivación de pacientes geriátricos subagudos a un hospital de atención intermedia como alternativa a la permanencia en un hospital general intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization

Clicks: 479
ID: 135264
2012
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Steady

Ranked #7 of 143 articles by views in cognition and emotion

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 143 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Objetivos: Evaluar la derivación rápida de pacientes ancianos con enfermedades crónicas reagudizadas desde un hospital general a un hospital de atención intermedia. Métodos: Estudio de cohortes. Se valora el cumplimiento de estándares de calidad premarcados y la adecuación de la selección. Resultados: Se derivaron 68 pacientes (edad media 82,6 años, 48,5% hombres) desde urgencias (69,1%) o desde servicios médicos (estancia media [desviación estándar, DE] global en agudos = 2,6 [2,9] días, en urgencias = 1,5 [1,6] días). La estancia media postaguda fue de 11,4 (4,2) días. Al alta, 56 pacientes (82,4%) regresaron al domicilio habitual (domicilio o residencia geriátrica), siete fueron derivados a larga estancia, dos a urgencias y tres murieron. Los estándares de calidad se cumplieron. En un análisis multivariado, ser hombre y el riesgo de desnutrición se asociaban a un riesgo incrementado de no regresar al domicilio habitual (p <0,05). Conclusiones: La atención intermedia de pacientes crónicos reagudizados, bien seleccionados, podría constituir una alternativa a la hospitalización aguda prolongada.
Objectives: We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital. Methods: A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated. Results: Sixty-eight patients (mean age 82.6 years, 48.5% men) were discharged from the emergency department (69.1%) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4%) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p <0.05). Conclusions: Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization.
Reference Key
inzitari2012gacetaderivacin Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Marco Inzitari;Lluís Espinosa Serralta;María Carmen Pérez Bocanegra;Marta Roquè Fíguls;Josep Maria Argimón Pallàs;Joan Farré Calpe
Journal cognition and emotion
Year 2012
DOI
DOI not found
URL
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0213-91112012000200012
Keywords
aging emergency hospitalization chronic diseases frailty intermediate care envejecimiento subacute

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.