Factores que favorecen el reingreso en intensivos de pacientes con síndrome coronario agudo / Factors that favor re-entry in intensive patients with acute coronary syndrome
Enferm. glob
; 17(52): 36-48, oct. 2018. ilus, tab, graf
Article
in Spanish
| IBECS
| ID: ibc-173980
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción:
Alrededor del 7% de los pacientes que ingresan en las Unidades de Cuidados Intensivos (UCI) por síndrome coronario agudo (SCA) en España, reingresan de nuevo tiempo después.Objetivos:
Identificar posibles causas y factores predisponentes a reingresar en UCI por SCA.Metodología:
Estudio retrospectivo, descriptivo, comparativo y longitudinal de pacientes ingresados por SCA en una UCI polivalente entre enero de 2008 y diciembre de 2013. Se recogen variables demográficas, número de ingresos, factores de riesgo al ingreso (dislipemias, hipertensión arterial y diabetes) y hábitos de vida no cardiosaludables (sedentarismo/obesidad, tabaquismo, enolismo) de pacientes que reingresan y se comparan con grupo de control (pacientes que no reingresan). Se realiza test Chi 2 de Pearson y significación estadística.Resultados:
Ingresaron 2.506 pacientes por SCA. Reingresaron 140 (5,58%) a los 12,93±16,41 meses después del primer ingreso. Los que reingresan están en UCI 4.97± 3.3 días (4.03±1.8 grupo control) en su primer ingreso. Se adjunta tabla con incidencia de factores de riesgo y hábitos de vida no saludables de ambos grupos. El tabaquismo y enolismo se relacionan con los reingresos (χ²=5.67; p<0.01).Conclusiones:
Los pacientes que reingresan, están más días en UCI en su primer ingreso, presentan un menor control de factores de riesgo y menor índice de abandono de hábitos nocivos que el grupo control. El tabaco y el alcohol son factores que favorecen el reingreso. Parece indicar que existe un problema de adherencia terapéutica en la muestra estudiadaABSTRACT
Introduction:
About 7% of patients admitted in Intensive Care Units (ICUs) due to acute coronary syndrome (ACS) in Spain, are readmitted again later.Objectives:
Identify the possible causes and predisposing factors for returning to ICU because of ACSMethodology:
Retrospective, descriptive, comparative and longitudinal study of patients admitted for ACS in the ICU between January 2008 and December 2013.Demographic variables, number of admissions, admission risk factors (dyslipidemia, hypertension and diabetes) and non heart-healthy life habits (sedentary / obesity, smoking, alcoholism) of patients who come back were collected and were compared with control group (not readmitted patients). Pearsons Chi 2 test and statistical significance were performed.Results:
2.506 patients were admitted by ACS. Readmissions were 140 (5,58%) after 12,93±16,41 months from their first admission. The ICUs reentering patients stayed4.97± 3.3 days (4.03±1.8 control group) in their first admission. A table is attached with risk factors' incidence and non heart-healthy life habits of both groups. Smoking and alcoholism habits are related with readmissions (χ²=5.67; p<0.01).Conclusions:
The patients who are readmitted stay more days in ICU in their first admission, have less control about risk factors and less quitting index of nocive habits than control group. It seems to exist an adherence therapeutic problem in the sample studied
Full text:
Available
Collection:
National databases
/
Spain
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Goal 9: Noncommunicable diseases and mental health
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Target 3.4: Reduce premature mortality due to noncommunicable diseases
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Target 3.5: Prevention and treatment of consumption of psychoactive substances
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Alcohol
Database:
IBECS
Main subject:
Tobacco Use Disorder
/
Alcohol Drinking
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Acute Coronary Syndrome
Type of study:
Etiology study
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Observational study
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Prognostic study
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Risk factors
Limits:
Adolescent
/
Adult
/
Aged
/
Female
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Humans
/
Male
Language:
Spanish
Journal:
Enferm. glob
Year:
2018
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Ntra Sra de Candelaria/España
/
Servicio Murciano de Salud/España
/
Universidad de La Laguna/España