El GES promueve la equidad en el tratamiento del gran quemado de la tercera edad / Analysis of the explicit guarantees of health inclusion criteria for elderly burned patients
Rev. méd. Chile
;
139(11): 1465-1470, nov. 2011. ilus
Artigo
em Espanhol
| LILACS
| ID: lil-627577
ABSTRACT
Background:
The guidelines for the treatment of severely burned patients, ineluded in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to have access to GES.Aim:
To analyze if a universal access to GES for this group of patients is justified. Material andMethods:
Revision of medical records of adult patients admitted to a burn service. Causative agent, TBSA, associated illnesses and outcome were compared between 218 subjects aged 65 years or more and 720 subjects aged less than 65 years.Results:
Older subjects had smaller TBSA, a lower prevalence of inhalation injury and more associated diseases. Their lethality was three times greater than that of younger subjects and their risk of dying. When adjusting for TBSA, presence of inhalation injury and associated diseases was 11 times greater.Conclusions:
The inclusion of older people with lower TBSA in the explicit guarantees in health is fully justified, considering the lethality of burns in this age group.
Texto completo:
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Índice:
LILACS (Américas)
Assunto principal:
Queimaduras
/
Seleção de Pacientes
/
Definição da Elegibilidade
/
Acessibilidade aos Serviços de Saúde
Tipo de estudo:
Estudo de etiologia
/
Guia de Prática Clínica
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2011
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital de Asistencia Pública/CL
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