SciELO - Scientific Electronic Library Online

 
vol.26 número2Factores relacionados con la satisfacción del paciente en los servicios de urgencias hospitalariosCalidad de vida relacionada con la salud en función de la categoría ponderal en la infancia índice de autoresíndice de materiabúsqueda de artículos
Home Page  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • No hay articulos similaresSimilares en SciELO

Compartir


Gaceta Sanitaria

versión impresa ISSN 0213-9111

Resumen

INZITARI, Marco et al. Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization. Gac Sanit [online]. 2012, vol.26, n.2, pp. 166-169. ISSN 0213-9111.

Objectives: We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital. Methods: A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated. Results: Sixty-eight patients (mean age 82.6 years, 48.5% men) were discharged from the emergency department (69.1%) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4%) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p <0.05). Conclusions: Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization.

Palabras llave : Chronic diseases; Aging; Intermediate care; Subacute; Hospitalization; Emergency; Frailty; Efficiency.

        · resumen en Español     · texto en Español     · pdf en Español