Frecuencia de reingresos hospitalarios y factores asociados en afiliados a una administradora de servicios de salud en Colombia

Caballero, Andrés; Pinilla, Milcíades Ibáñez; Mendoza, Isabel Cristina Suárez; Peña, Juan Ramón Acevedo

doi:10.1590/0102-311x00146014

Cited by 11 publications

(10 citation statements)

References 41 publications

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“…análisis comparativo, dado que permite analizar el uso de diferentes recursos tecnológicos utilizados por un grupo de cirujanos en una institución de salud colombiana para el manejo de una patología altamente prevalente. Aunque existen estudios preliminares en poblaciones equivalentes 31,32 , teniendo en cuenta las características propias del sistema sanitario, este es el primer estudio colombiano que compara diferentes recursos tecnológicos en el contexto de las políticas de reúso de dispositivos médicos instauradas en el país. De igual forma, este estudio contribuye al análisis de la calidad de atención y aporta al diseño de estrategias de mejoramiento interno.…”

Section: Discussionunclassified

Comparación de los desenlaces clínicos con cuatro técnicas de apendicetomía laparoscópica tras la implementación de políticas de reúso de dispositivos médicos

et al. 2021

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Introducción: Este estudio se comparan los desenlaces clínicos de cuatro técnicas de apendicectomía laparoscópica utilizadas en una institución colombiana tras la adopción políticas de reúso y reprocesamiento de dispositivos médicos para la Región de las Américas (2014).Materiales y métodos: Mediante el análisis de varianza de una vía (ANOVA) y la prueba de Kruskal Wallis, se compararon las tasas de infección de sitio operatorio (ISO), reoperación no planeada, readmisión y mortalidad (30 días postoperatorio) de las siguientes técnicas: Técnica-1: Ligadura del muñón apendicular con endonudo y disección del mesenterio apendicular con electrocoagulación bipolar convencional; Técnica-2: Clipaje del muñón con endoclip de polímero y disección del mesenterio con electrocoagulación bipolar convencional; Técnica-3: Clipaje del muñón con endoclip de polímero y disección del mesenterio con electrocoagulación monopolar; Técnica-4: Clipaje del muñón y disección roma y ligadura del mesenterio con endoclip de polímero. Resultados: Se incluyeron 551 pacientes. No se encontraron diferencias en los ANOVAs en cuanto a las características demográficas de los pacientes por cada técnica. Los desenlaces globales fueron: ISO (5.44%), reoperación no planeada (3.08%), readmisión (15,97%) y mortalidad (0.18%). Se encontraron diferencias significativas (p<0.05) en estos desenlaces explicados por mayores tasas de ISO y reoperación con la Técnica-1.Conclusiones: Los desenlaces globales de la apendicectomía laparoscópica tras la adopción de políticas de reúso de dispositivos médicos se encuentran dentro de los aceptados globalmente cuando se utilizan las Técnicas 2-3-4 en poblaciones equivalentes de pacientes con apendicitis aguda. En este contexto, nuestros resultados invitan a utilizar con precaución la Técnica-1.

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Section: Discussionunclassified

Comparación de los desenlaces clínicos con cuatro técnicas de apendicetomía laparoscópica tras la implementación de políticas de reúso de dispositivos médicos

et al. 2021

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“…Evidence shows that the prevalence of HF increases gradually with age and it is estimated to affect 10% of elderly adults, becoming the first cause of hospitalization in this population. ( 4 )…”

Section: Introductionmentioning

confidence: 99%

“…Another one of the serious problems of HF is the increase of readmissions of patients due to the decompensation of the disease. ( 4 ) Within this context, over time, specialized units have been created with programs of multidisciplinary approach for the integral management of patients with HF. ( 3 ) Among these programs, education of patients is crucial to improve the clinical outcomes of patients.…”

Section: Introductionmentioning

confidence: 99%

Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

Cañón-Montañéz

Duque-Cartagena

Acelas

2021

invest. educ. enferm

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Objective. To estimate the combined effect of educational interventions (EI) on decreased readmissions and time of hospital stay in adults with heart failure, compared with usual care. Methods. Systematic review (SR) and meta-analysis (MA) of randomized controlled trials that followed the recommendations of the PRISMA statement. The protocol was registered on PROSPERO (CRD42019139321). Searches were made from inception until July 2019 in the databases of PubMed/Medline, Embase, Cochrane CENTRAL, Lilacs, Web of Science, and Scopus. The MA was conducted through the random effects model. The effect measure used for the dichotomous outcomes was relative risk (RR) and for continuous outcomes the mean difference (MD) was used, with 95% confidence intervals (CI). Heterogeneity was evaluated through the inconsistency statistic (I2). Results. Of 2369 studies identified, 45 were included in the SR and 43 in the MA. The MA of studies with follow-up at six months showed a decrease in readmissions of 30% (RR: 0.70; 95% CI: 0.58 to 0.84; I2: 0%) and the 12-month follow-up evidenced a reduction of 33% (RR: 0.67; 95% CI: 0.58 to 0.76; I2: 52%); both analyses in favor of the EI group. Regarding the time of hospital stay, a reduction was found of approximately two days in patients who received the EI (MD: -1.98; 95% CI: -3.27 to -0.69; I2: 7%). Conclusion. The findings support the benefits of EI to reduce readmissions and days of hospital stay in adult patients with heart failure.

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“…Hospital readmissions represent a problem of major relevance for the health services worldwide; in Catalonia, the mean of readmissions due to Diabetes Mellitus complications in 2016 was 4.6% (4). A study conducted in Colombia revealed that 1 out of 10 patients are readmitted within 30 days, generating a longer stay in comparison with their first admission (5).…”

Section: Introductionmentioning

confidence: 99%

Effect of a Preparation Plan for Hospital Discharge in Patients with Diabetes Mellitus

et al. 2021

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Objective: to assess the effect of the preparation plan for hospital discharge on the self-care agency capacity and adherence to treatment in the patients with Diabetes Mellitus treated in the Erasmo Meoz University Hospital (Hospital Universitario Erasmo Meoz, HUEM) during 2019. Materials and methods: a quasi-experimental study, with pre-/post-test assessment in the study group, guided by Dorothea Orem’s theory, with a non-probabilistic sampling of 88 individuals, by convenience. It was conducted by implementing the following instruments: therapeutic conduct, disease or lesion, and scale to assess the self-care agency capacity (ASA); data analysis was performed in Microsoft Excel 2016 and SPSS, version 22.0. Parametric (Student’s t-test for paired samples) and non-parametric (Wilcoxon) statistical tests were also used, considering p-values < 0.05 as statistically significant. Results: the initial self-care agency capacity was 61.48 (low) and the final was 80.43 (fair); therapeutic adherence compliance in the initial assessment was occasionally shown (2.82) and frequently shown at the end (4.38), with both variables showing a statistically significant difference with p-values < 0.05. Conclusions: it was determined that the intervention performed had a positive effect on therapeutic adherence and the self-care agency capacity of the diabetic patients subjected to the intervention.

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Frecuencia de reingresos hospitalarios y factores asociados en afiliados a una administradora de servicios de salud en Colombia

Cited by 11 publications

References 41 publications

Comparación de los desenlaces clínicos con cuatro técnicas de apendicetomía laparoscópica tras la implementación de políticas de reúso de dispositivos médicos

Comparación de los desenlaces clínicos con cuatro técnicas de apendicetomía laparoscópica tras la implementación de políticas de reúso de dispositivos médicos

Effect of Educational Interventions to Reduce Readmissions due to Heart Failure Decompensation in Adults: a Systematic Review and Meta-analysis

Effect of a Preparation Plan for Hospital Discharge in Patients with Diabetes Mellitus

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