Título:
Reingresos hospitalarios no programados: pronóstico a un año de seguimiento
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Compilador:
Autor:
Bellon, Camila
Bueno, Julmart
Gimenez, Octavio
Larrosa, Caroline
Mistieri, Pamela
Rincón, Andrés
Bueno, Julmart
Gimenez, Octavio
Larrosa, Caroline
Mistieri, Pamela
Rincón, Andrés
Tutor:
Carlomagno, Adriana
Ramos, Fernando
Ramos, Fernando
Tipo de documento:
Monografía
Editor:
Palabras clave:
Reingresos hospitalarios
Mortalidad
Recursos en salud
Medicina interna
Hospital readmissions
Mortality
Health resources
Internal medicine
Mortalidad
Recursos en salud
Medicina interna
Hospital readmissions
Mortality
Health resources
Internal medicine
Descriptores:
Año de publicación:
2024
Contenido:
Resumen:
Introducción: Abordar los reingresos hospitalarios es fundamental para mejorar la atención médica y la distribución de los recursos en salud. En el año 2023 un grupo de estudiantes de medicina realizó una investigación sobre reingresos hospitalarios y factores de riesgos asociados; observaron que 25% de los
pacientes que ingresan corresponden a reingresos , y el 40% de los reingresos son precoces, menores a 30 días tras el alta hospitalaria.
Objetivo: Evaluar la evolución de la cohorte de pacientes que ingresaron en 2023 en el Hospital Maciel al año de su último ingreso.
Metodología: Se trata de un estudio observacional transversal, que abordó los reingresos hospitalarios en la Clínica Médica 1 y sector de Neumología del Hospital Maciel.
Se analizó una cohorte única, de 160 de pacientes ingresados en el período julio a septiembre de 2023. El grupo A (n=80), correspondió a pacientes que ingresaron en dicho periodo y no presentaron reingresos previos. El grupo B (n=80) correspondió a pacientes que ingresaron pero además tenían al menos un reingreso en los 6 meses previos a dicho período. Esta cohorte fue analizada al año siguiente a su último ingreso en el período julio-septiembre 2023.
Resultados: De los 160 pacientes 57 fallecieron. El grupo B mostró mayor mortalidad (46%) (p=0.019) y un riesgo de mortalidad 2,2 (IC 95% 1,135-4,311) veces mayor respecto del grupo A. En el grupo A un 15.18% de los
pacientes reingresaron, mientras que en el grupo B un 43.42%. En cuanto a utilización de recursos en salud el grupo B requirió más estudios.
Conclusión: Los pacientes que tuvieron reingresos en el periodo anterior presentaron mayor mortalidad, frecuencia de reingresos y mayor necesidad de utilización de recursos en salud.
Introduction: Addressing hospital readmissions is essential to improve medical care and the distribution of health resources. In 2023, a group of medical students conducted research on hospital readmissions and associated risk factors; They observed that 25% of admitted patients correspond to readmissions, and 40% of readmissions are early, less than 30 days after hospital discharge. Objective: To evaluate the evolution of the cohort of patients who were admitted to the Hospital Maciel in 2023 one year after their last admission. Methodology: This is a cross-sectional observational study that addressed hospital readmissions in Clinica Medica 1 and the Pulmonology sector of the Hospital Maciel. A unique cohort of 160 patients admitted in the period July to September 2023 was analyzed. Group A (n=80) corresponded to patients who were admitted in said period and had no previous readmissions. Group B (n=80) corresponded to patients who were admitted but also had at least one readmission in the 6 months prior to said period. This cohort was analyzed the year following their last admission in the period July-September 2023. Results: Among the 160 patients, 57 died. Group B showed higher mortality (46%) (p=0.019) and a risk of mortality 2.2 (95% CI 1.135-4.311) times higher compared to group A. In group A, 15.18% of patients were readmitted, while in group B 43.42%. Regarding the use of health resources, group B required more studies. Conclusion: Patients who had readmissions in the previous period had higher mortality, frequency of readmissions and greater need for the use of health resources.
Introduction: Addressing hospital readmissions is essential to improve medical care and the distribution of health resources. In 2023, a group of medical students conducted research on hospital readmissions and associated risk factors; They observed that 25% of admitted patients correspond to readmissions, and 40% of readmissions are early, less than 30 days after hospital discharge. Objective: To evaluate the evolution of the cohort of patients who were admitted to the Hospital Maciel in 2023 one year after their last admission. Methodology: This is a cross-sectional observational study that addressed hospital readmissions in Clinica Medica 1 and the Pulmonology sector of the Hospital Maciel. A unique cohort of 160 patients admitted in the period July to September 2023 was analyzed. Group A (n=80) corresponded to patients who were admitted in said period and had no previous readmissions. Group B (n=80) corresponded to patients who were admitted but also had at least one readmission in the 6 months prior to said period. This cohort was analyzed the year following their last admission in the period July-September 2023. Results: Among the 160 patients, 57 died. Group B showed higher mortality (46%) (p=0.019) and a risk of mortality 2.2 (95% CI 1.135-4.311) times higher compared to group A. In group A, 15.18% of patients were readmitted, while in group B 43.42%. Regarding the use of health resources, group B required more studies. Conclusion: Patients who had readmissions in the previous period had higher mortality, frequency of readmissions and greater need for the use of health resources.
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Editorial:
Udelar. FM
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Citación:
Bellon C, Bueno J, Gimenez O y otros. Reingresos hospitalarios no programados: pronóstico a un año de seguimiento [en línea]. Monografía de Pre Grado. Montevideo: Udelar. FM, 2024. 27 p.
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URI:
https://hdl.handle.net/20.500.12008/51592
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Licencia:
Licencia Creative Commons Atribución (CC - By 4.0)
Cobertura geográfica:
URUGUAY
Cobertura temporal:
Julio - Setiembre 2023
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| Ficheros | Descripción | Tamaño | Formato | ||
|---|---|---|---|---|---|
| G71-2024.pdf | Reingresos hospitalarios no programados | 1.87 MB | Adobe PDF | ||
| G71-GA-2024.pdf | Resumen gráfico | 3.92 MB | Adobe PDF |