Predictores sociales y clínicos asociados con estancia hospitalaria prolongada en pacientes con agudización grave de EPOC

Fernández-García, Sara; Represas-Represas, Cristina; Ruano-Raviña, Alberto; Botana-Rial, Maribel; Mouronte-Roibás, Cecilia; Ramos-Hernández, Cristina; Villar, Alberto Fernández

doi:10.1016/j.rce.2019.05.003

Cited by 5 publications

(5 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should not be ignored that prolonged stay in acute hospitals increases the risk of cognitive impairment and functional dependency (18,19,26), in spite of nursing work in self-care training during the hospital stay and the planning of discharge which occurs with the involvement of the healthcare team. On the one hand, other studies have also demonstrated that prolonged hospital stays are associated with poorer functional status and mobility which in turn will affect the degree of dependency postdischarge (18,19,23,(26)(27)(28). On the other hand, the increase in dependency time seems to be followed by gains in autonomy, even though the correlations were not significant.…”

Section: Discussionmentioning

confidence: 90%

Dependent person in self‐care: analysis of care needs

Dixe

Frontini

Sousa

et al. 2019

Scandinavian Caring Sciences

View full text Add to dashboard Cite

Background The aim of this study was to assess the self‐care dependency levels of the dependent person at the time of home discharge and its relationship between (1) the degree of dependency of each self‐care domain; (2) the previous dependency levels; and (3) the gender of the dependent person. It also aims to assess the relationship between the degree of dependency of each self‐care domain, the length of admission, the length of dependency and the age of the dependent person at the time of discharge. Methods A cross‐sectional study was conducted. The sample comprised hospitalised adults and elderly in the medical services of a Portuguese hospital during the months of March, April and May of 2018. The data were collected by an interview conducted at the time of home discharge from the hospital medical ward. Results The average age of dependent people of the sample is 80.7 years (±10.1) with the majority being women (51.7%), with no statistical difference in the mean age according to gender (U = 2205.500; p > 0.05). They were hospitalised on average 11.4 days (±33.2), most of them (44.0%) due to respiratory problems (85% of which were due to pneumonia). There were no statistically significant differences between the length of the hospital stay, the length of dependency and the participants' gender (U = 2200.500, p > 0.05; U = 1688.000, p > 0.05). Medication intake was the highest dependency domain amongst participants (41.3%), followed by instrumental activities of daily living (40.6%) and bathing (39.9%). Conclusion The amount of support required may vary according to the domain that the person is dependent. Thus, it is important to use a robust and reliable assessment tool that will be able to assess the degree of dependency on the various domains of self‐care.

show abstract

Section: Discussionmentioning

confidence: 90%

Dependent person in self‐care: analysis of care needs

Dixe

Frontini

Sousa

et al. 2019

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“… 48 Fernández-García et al reported that patients with a hospital stay of ≥7 days had worse CAT scores than patients with a hospital stay of <7 days (20.1 vs 18; p=0.02). 32 …”

Section: Resultsmentioning

confidence: 99%

“…48 Fernández-García et al reported that patients with a hospital stay of ≥7 days had worse CAT scores than patients with a hospital stay of <7 days (20.1 vs 18; p=0.02). 32 Bourbeau et al assessed patients with moderate to very severe COPD (mean pre-bronchodilator FEV 1 of 45% predicted) to evaluate the impact of exacerbations upon HRQoL. 38 Exacerbation events of any severity were associated with statistically significant decreases in the mean changes in SGRQ activity and impact domains at onset, during the first and second weeks post-exacerbation.…”

Section: Exacerbations and Hospitalizationmentioning

confidence: 99%

A Systematic Literature Review of the Humanistic Burden of COPD

Hurst

Siddiqui

Singh

et al. 2021

COPD

View full text Add to dashboard Cite

Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide, causing substantial economic and social burden. Objective: This review assessed the patient-reported humanistic burden associated with moderate to very severe COPD, specifically the impact on health-related quality of life (HRQoL), symptoms, limitations in daily life, and emotional implications, through the use of HRQoL instruments. Methods: A systematic review was conducted to retrieve relevant clinical data from published literature using a representative sample of countries where healthcare systems provide wide availability of COPD medications and/or universal coverage includes respiratory medicines (

show abstract

“…Por otro lado, autores como Fernández y Represas (15) afirman que las variables relacionadas con la esfera social juegan un papel relevante en la estancia hospitalaria, además del impacto de la enfermedad y la persistencia del tabaquismo en pacientes con enfermedad pulmonar obstructiva crónica (EPOC) grave (16).…”

Section: Discussionunclassified

“…Sobre el tiempo de estancia es adecuado o apropiado cuando se ajusta a los días necesarios de ingreso en una unidad de salud, considerándose prolongado al superar su media estandarizada. Entre los distintos continentes se documenta una variabilidad más larga en los estadounidenses (15,23,24).…”

Section: Discussionunclassified

Factores de estancia hospitalaria prolongada en una institución de salud de Medellín

Cañas-Benitez¹,

Moreno-Pareja²,

Cataño-Saldarriaga

2021

Rev. cienc. cuidad.

View full text Add to dashboard Cite

Objetivos: El objetivo de este proyecto de investigación se basó en identificar los factores asociados a la estancia hospitalaria prolongada en una institución de mediana y alta complejidad de Medellín. Materiales y métodos: Se realizó un estudio analítico, cuantitativo, de corte transversal; con una selección aleatoria simple de pacientes registrados en el consolidado de estancia hospitalaria prolongada en la institución objeto de estudio, donde (n =291) pacientes; para el análisis bivariado se utilizó x2 cuadrado en SPSS, los valores P arrojados fueron evaluados con un nivel de confianza del 95% y un margen de error del 5%, dando un nivel de significancia o de valor alfa de 0.05 de los 291 registros analizados. Resultados: se encontró asociación estadísticamente significativa entre estancia hospitalaria prolongada y atención domiciliaria (p= 0,028); procedimientos: (p= 0.046) y ayudas diagnósticas: (p= 0,38). Conclusiones: La estancia hospitalaria de un paciente, no solo depende de su condición clínica; depende de una interrelación entre otros actores en su atención, institución, prestador y red de servicios.

show abstract

Predictores sociales y clínicos asociados con estancia hospitalaria prolongada en pacientes con agudización grave de EPOC

Cited by 5 publications

References 28 publications

Dependent person in self‐care: analysis of care needs

Dependent person in self‐care: analysis of care needs

A Systematic Literature Review of the Humanistic Burden of COPD

Factores de estancia hospitalaria prolongada en una institución de salud de Medellín

Contact Info

Product

Resources

About