ABSTRACT
BACKGROUND: Wetry to establish the utility that a Short Stay Unit depending on Internal Medicine has for a third level hospital. This unit manages the patients under the "appropriate stay" concept. METHODS: Several clinical and epidemic variables and sanitary indicators were studied in 867 patients. Cost was measured as the origin by average stays, explorations and readmission. Effectiveness was considered as the percentage of discharges that stay in the hospital for three days or less. RESULTS: The average age of the patients was 65.05 years. 55% were males. 82.24% had any previous disease. The most common diagnosis (ICD-9) were respiratory diseases, nervous system diseases and digestive diseases. The average stay of the patients was 57 hours, 2,259 explorations were ordered, it supposes an average of 0.328 urgent explorations and 2,276 UCE explorations. 310 explorations were no received when the patient was sent home. 36.56% of the patients required no explorations. 62.4% of the patients were sent home. Explorations not received had a bad influence in the average stay and in the discharges. Readmissions were 9.36%. CONCLUSIONS: We got hay 62.4% of the patients had a stay of 2,375 days in the hospital, With a reasonably low cost in readmissions and explorations. However it wasn't possible to establish which patient coming to the Emergency Service is appropriate for this Short Stay Unit.
Subject(s)
Hospital Units/statistics & numerical data , Internal Medicine , Length of Stay/statistics & numerical data , Abdomen/diagnostic imaging , Aged , Aged, 80 and over , Brain/diagnostic imaging , Clinical Laboratory Techniques/statistics & numerical data , Data Interpretation, Statistical , Electrocardiography/statistics & numerical data , Emergencies , Female , Humans , Male , Middle Aged , Patient Readmission/statistics & numerical data , Radiography, Abdominal/statistics & numerical data , Radiography, Thoracic/statistics & numerical data , Spain , Tomography, X-Ray Computed/statistics & numerical data , UltrasonographyABSTRACT
Fundamento: Establecer la utilidad que, para el hospital de tercer nivel, tiene una Unidad de Corta Estancia dependiente de Medicina Interna, cuyo trabajo se centra en el manejo de los pacientes bajo el concepto de "estancia adecuada". Métodos: Se estudian variables epidemiológicas, clínicas, e indicadores sanitarios de 867 pacientes. Con la información obtenida se evalúan las estancias medias, las pruebas complementarias y los reingresos. Así mismo, el porcentaje de altas domiciliarias con una estancia menor o igual a tres días. Resultados: La media de edad de los 867 pacientes es de 65,05 años. El 55% son varones. Un 82,24% padece algún antecedente médico. Los diagnósticos al alta más frecuentes (CIE-9) son las Enfermedades Respiratorias, seguidas de las del Sistema Nervioso y Digestivas. La estancia media en la Unidad ha sido de 57 horas. Se han solicitado 2.259 estudios complementarios, con un promedio de pruebas urgentes y de UCE de 0,328 y 2,276 respectivamente. De ellas hay 310 que, en el momento del alta, no se han realizado o recibido. El 36,56% de los pacientes no tienen pruebas pedidas en la Unidad. Respecto al destino de alta, el 62,4 porciento fueron altas hacia el domicilio. Las pruebas no disponibles influyeron negativamente en la estancia media y en las altas dadas hacia el domicilio. Hubo un 9,36porciento de reingresos. Conclusiones: Se ha logrado que el 62,4% de los pacientes tengan una estancia hospitalaria de unos 2.375 días, con un porcentaje de reingresos y promedio de pruebas complementarias razonablemente limitado. Sin embargo, no ha sido posible establecer, desde el Servicio de Urgencias, el paciente "tipo" candidato a la corta estancia (AU)
