ABSTRACT
No disponible
Subject(s)
Humans , Female , Aged , Leg Ulcer/etiology , Cellulite/diagnosis , Myositis/diagnosis , Skin Ulcer/etiology , Pasteurella multocida/isolation & purification , Pasteurella Infections/diagnosisABSTRACT
INTRODUCTION: Evaluate patients with community acquired pneumonia (CAP) admitted to our Short Stay Medical Unit (SSMU) in order to establish, using Fines s criteria, whether reducing the length of stay of maximum risk groups (IV and V) is associated with reduction of quality with either an increase of mortality or readmissions. A further objective was to pinpoint the variables associated with a prolongation of hospital stay. PATIENTS AND METHODS: All CAP patients admitted to our unit over a eighteen-month period were included in the study. We conducted an univariate analysis and a step wise multivariate analysis of all the variables in the univariate analysis showing a significant statistical relation. RESULTS: 182 patients with a mean age of 73 years were studied. The length of hospital stay was 4.3 days. Stratified by Fine's criteria, 91.2% were included in the groups of maximum risk: 12.1% in group III, 60.4% IV and 18.7% in V. The medium length of stay for each category was 4.3, 4.1 y 5.3 days respectively. The mortality rate was 2.7% and only 5 patients required readmission within one month alter the discharge. Of the variables analyzed only Fine's group V, chronic liver disease and/or renal insufficiency as comorbidities, a pulse rate over 125 per minute and blood glucose level > 250 mg/l showed a significant relation with more than five days hospitalization, and out of them, only the three latter stayed in the multivariate analysis. CONCLUSIONS: All CAP patients, including those in Fine's groups IV and V, can be treated safely and efficiently in a SSMU, providing there is an outpatient clinic for immediate consultation available.
Subject(s)
Ambulatory Care , Hospitalization , Outcome and Process Assessment, Health Care , Pneumonia/therapy , Aged , Community-Acquired Infections/mortality , Community-Acquired Infections/therapy , Female , Humans , Male , Pneumonia/mortality , SpainABSTRACT
Introducción: Evaluar los pacientes ingresados por neumonía adquirida en la comunidad (NAC) en una unidad de corta estancia médica (UCEM) para determinar, mediante los criterios de Fine para, si la reducción de la estancia en los grupos de máximo riesgo (grupos IV y V) lleva asociada una disminución de la calidad asistencial en forma de mortalidad y reingresos. Pacientes y métodos: Se incluyeron todos los pacientes con NAC ingresados en la UCEM en un periodo de 18 meses. Se realizó un estudio univariante contrastando cada variable con la variable resultado (estancia > o 250 mg/l, se relacionaron con una estancia mayor de 5 días y de ellas únicamente las 3 últimas permanecieron en el modelo final en el análisis multivariante. Conclusiones: La NAC se puede tratar de forma eficiente en una UCEM incluso en pacientes incluidos en los grupos IV y V de Fine, apoyados en una consulta externa ágil y precoz que permita una revisión temprana
Introduction: Evaluate patients with community acquired pneumonia (CAP) admitted to our Short Stay Medical Unit (SSMU) in order to establish, using Finess criteria, whether reducing the length of stay of maximum risk groups (IV and V) is associated with reduction of quality with either an increase of mortality or readmissions. A further objective was to pinpoint the variables associated with a prolongation of hospital stay. Patients and methods: All CAP patients admitted to our unit over a eighteen-month period were included in the study. We conducted an univariate analysis and a step wise multivariate analysis of all the variables in the univariate analysis showing a significant statistical relation. Results: 182 patients with a mean age of 73 years were studied. The length of hospital stay was 4.3 days. Stratified by Finess criteria, 91.2% were included in the groups of maximum risk: 12.1% in group III, 60.4% IV and 18.7% in V. The medium length of stay for each category was 4.3, 4.1 y 5.3 days respectively. The mortality rate was 2.7% and only 5 patients required readmission within one month alter the discharge. Of the variables analyzed only Fines group V, chronic liver disease and/or renal insufficiency as comorbidities, a pulse rate over 125 per minute and blood glucose level > 250 mg/l showed a significant relation with more than five days hospitalization, and out of them, only the three latter stayed in the multivariate analysis. Conclusions: All CAP patients, including those in Fines groups IV and V, can be treated safely and efficiently in a SSMU, providing there is an outpatient clinic for inmmediate consultation available
Subject(s)
Male , Female , Middle Aged , Humans , Pneumonia/complications , Length of Stay/economics , Length of Stay/trends , Multivariate Analysis , Retrospective Studies , Mental Health , Blood Pressure/physiology , Pleural Effusion/complicationsABSTRACT
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Subject(s)
Male , Aged , Aged, 80 and over , Humans , Carcinoma, Hepatocellular/complications , Paraneoplastic Syndromes/etiology , Polycythemia/etiology , Liver Neoplasms/complicationsSubject(s)
Anticoagulants/adverse effects , Hemarthrosis/chemically induced , Aged , Aged, 80 and over , Humans , MaleABSTRACT
No disponible
Subject(s)
Aged , Aged, 80 and over , Humans , Male , Anticoagulants , HemarthrosisSubject(s)
Arthritis/microbiology , Mycobacterium tuberculosis/isolation & purification , Shoulder/microbiology , Tuberculosis, Osteoarticular/diagnosis , Tuberculosis, Osteoarticular/microbiology , Aged , Antitubercular Agents/therapeutic use , Arthritis/diagnosis , Arthritis/drug therapy , Female , Humans , Magnetic Resonance Imaging , Radiography , Shoulder/diagnostic imaging , Treatment Outcome , Tuberculosis, Osteoarticular/drug therapyABSTRACT
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