ABSTRACT
No disponible
Subject(s)
Humans , Critical Illness/economics , Health Care Costs/statistics & numerical data , Intensive Care Units/organization & administrationSubject(s)
Critical Care/economics , Hospital Costs/statistics & numerical data , Length of Stay/economics , Cost Savings , Cost-Benefit Analysis , Health Priorities , Healthcare Disparities/economics , Humans , Intensive Care Units/economics , Intensive Care Units/statistics & numerical data , Social Responsibility , SpainSubject(s)
Humans , Male , Female , Young Adult , Adult , Length of Stay/economics , Length of Stay/trends , Quality of Health Care/ethics , Quality of Health Care/standards , Quality of Health Care , Indicators of Morbidity and Mortality , Retrospective Studies , Critical Care/methods , Critical Care/trends , PrognosisABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Middle Aged , Intensive Care Units , Length of Stay/statistics & numerical data , Prognosis , Retrospective StudiesABSTRACT
Fundamentos y objetivo: No se conoce cuál es el verdadero papel de la edad en el pronóstico de los pacientes ingresados en las Unidades de Cuidados Intensivos (UCI). En este trabajo se analiza la influencia de la edad en la duración de la estancia y en la mortalidad de los pacientes que permanecen de forma prolongada en una UCI. Pacientes y método: Estudio retrospectivo observacional, con pacientes ingresados ≥14 días en UCI. Se establecieron 3 grupos de edad: menores de 50, entre 50-70 y mayores de 70 años. Se estudió la influencia de diferentes factores en la relación existente entre estancia y edad; además se analizó la estancia y la supervivencia en las UCI, hospitalaria y al año en función de los grupos. Resultados: Se incluyeron 707 pacientes. No se encontraron diferencias significativas entre los 3 grupos en la estancia hospitalaria (p=0,183). El grupo de mayor edad, que presentaba una mayor gravedad al ingreso, fue el que se sometió a más traqueotomías (74,7%) y de depuración extrarrenal (HDF) (10,8%). Al analizar la influencia de factores tales como el APACHE II, la estancia pre-UCI, la procedencia, la traqueotomía o las HDF, no se encontró relación alguna entre la estancia y la edad del paciente. La supervivencia decrecía a medida que se incrementaba la edad. Conclusiones: No se hallaron diferencias en la estancia en función de la edad, aunque sí en la mortalidad (AU)
Backgrounds and objective: The true role of the age in the prognosis of patients admitted in the ICU is not known. This work analyzes the influence of age on the duration of the stay and mortality of patients who remain in an Intensive Care Unit (ICU) for a long period of time. Patients and method: A retrospective, observational study was performed with patients hospitalized ≥14 days in the ICU. Three age groups were established: <50, 50-70 and >70 years. The influence of different factors on the relationship existing between stay and age was studied. In addition, stay and survival in the ICU, hospital and at one year were analyzed based on the groups. Results: A total of 707 patients were included. Significant differences in hospital stay (P=0.183) were not found among the three groups. The older group, which showed greater severity on admission, was the group undergoing the most tracheostomies (74.7%) and extrarenal purification (HDF) (10.8%). When the influence of factors such as APACHE II, pre-ICU stay, origin, tracheostomy or hemodiafiltration (HDF) were analyzed, no relation was found between stay and age of patient. Survival decreased as age increased. Conclusions: No differences were found in stay based on age, although a difference was found in mortality (AU)
Subject(s)
Humans , Critical Care/statistics & numerical data , Intensive Care Units/statistics & numerical data , Length of Stay/statistics & numerical data , Age Factors , Indicators of Morbidity and Mortality , Prognosis , Prospective StudiesSubject(s)
Hospital Mortality , Intensive Care Units , Length of Stay , Humans , Retrospective StudiesSubject(s)
Intensive Care Units , Length of Stay/statistics & numerical data , Prognosis , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
BACKGROUNDS AND OBJECTIVE: The true role of the age in the prognosis of patients admitted in the ICU is not known. This work analyzes the influence of age on the duration of the stay and mortality of patients who remain in an Intensive Care Unit (ICU) for a long period of time. PATIENTS AND METHOD: A retrospective, observational study was performed with patients hospitalized ≥14 days in the ICU. Three age groups were established: <50, 50-70 and >70 years. The influence of different factors on the relationship existing between stay and age was studied. In addition, stay and survival in the ICU, hospital and at one year were analyzed based on the groups. RESULTS: A total of 707 patients were included. Significant differences in hospital stay (P=.183) were not found among the three groups. The older group, which showed greater severity on admission, was the group undergoing the most tracheostomies (74.7%) and extrarenal purification (HDF) (10.8%). When the influence of factors such as APACHE II, pre-ICU stay, origin, tracheostomy or hemodiafiltration (HDF) were analyzed, no relation was found between stay and age of patient. Survival decreased as age increased. CONCLUSIONS: No differences were found in stay based on age, although a difference was found in mortality.
Subject(s)
Critical Care/statistics & numerical data , Hospital Mortality , Intensive Care Units/statistics & numerical data , APACHE , Age Factors , Aged , Female , Humans , Length of Stay , Male , Middle Aged , Prognosis , Retrospective Studies , Severity of Illness IndexSubject(s)
Humans , Male , Female , Triage/methods , Triage , Critical Care/legislation & jurisprudence , Critical Care/methods , Critical Care/organization & administration , 34661/methods , Post Disaster Resettlement , Triage/organization & administration , Triage/supply & distribution , Triage/trends , 35158ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Acute Coronary Syndrome/mortality , APACHE , Intensive Care Units , Myocardial Reperfusion , Retrospective Studies , Sex Factors , Age Factors , PrognosisSubject(s)
Acute Coronary Syndrome/mortality , Intensive Care Units/statistics & numerical data , APACHE , Acute Coronary Syndrome/drug therapy , Acute Coronary Syndrome/etiology , Age Factors , Aged , Cause of Death , Female , Fibrinolytic Agents/therapeutic use , Humans , Male , Middle Aged , Myocardial Ischemia/complications , Myocardial Ischemia/epidemiology , Myocardial Reperfusion , Prognosis , Renal Replacement Therapy/statistics & numerical data , Respiration, Artificial/adverse effects , Respiration, Artificial/statistics & numerical data , Retrospective Studies , Sex FactorsABSTRACT
No disponible
No disponible
Subject(s)
Humans , Critical Care/methods , Nutritional Support/methods , Nutrition Disorders/diet therapy , Quality Control , Quality Indicators, Health Care , /organization & administrationABSTRACT
No disponible
Subject(s)
Humans , Intensive Care Units/organization & administration , Quality of Health Care/organization & administration , Health Personnel/organization & administration , Patient Satisfaction , Job SatisfactionABSTRACT
Los sistemas de gestión de la calidad permiten priorizar acciones para que se pueda mantener la seguridad y la eficacia de las tecnologías sanitarias. En la Unidad de Cuidados Intensivos (UCI) de nuestro hospital se ha implementado un plan de gestión de la calidad, que ha obtenido el reconocimiento como «Servicio Certificado que gestiona sus actividades según la norma UNE-EN ISO 9001:2008». Con la aplicación del sistema de gestión de la calidad se logra detectar las necesidades que puede cubrir el servicio, esto con el fin de lograr la satisfacción del paciente, familiar o personal sanitario del resto de los servicios del hospital, mejorar las comunicaciones dentro y fuera del servicio, conseguir una mayor comprensión de los procesos de la organización y control de riesgo, delimitar responsabilidades de forma clara a todo el personal, llevar a cabo una mejor utilización del tiempo y los recursos y, por último, mejorar, si cabe, la motivación del personal (AU)
The Quality Management Systems make it possible to prioritize actions to maintain the safety and efficacy of health technologies. The Intensive Care Unit of our hospital has implemented a quality management plan, which has obtained accreditation as «Service Certificate that manages its activities according to UNE-EN ISO 9001:2008» standard. With the application of quality management system, it has been possible to detect the needs that the Service can cover in order to obtain the satisfaction of the patient, relative or health personnel of the other services of the hospital, to improve communications inside and outside of service, to secure greater understanding of the processes of the organization and control of risk, to delimit responsibilities clearly to all the personnel, to make better use of the time and resources and, finally, to improve the motivation of the personnel (AU)