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Id: biblio-985696
Autor: Nazzal, Carolina; Alonso, Faustino.
Título: Variación estacional de las hospitalizaciones por infarto agudo de miocardio según sexo y edad en Chile / Seasonal variation in hospital admissions due to acute myocardial infarction according to sex and age in Chile
Fonte: Rev. méd. Chile;146(11):1233-1240, nov. 2018. tab, graf.
Idioma: es.
Resumo: Background: The incidence of acute myocardial infarction (AMI) varies according to seasonality, being higher in winter. The effect of sex on this phenomenon is not clear. Aim: To evaluate the effect of seasonality in men and women hospitalized for AMI at different ages. Material and Methods: We included all patients with a primary diagnosis of AMI admitted in public and private hospitals in Chile during 2002-2011 (codes I21-I22, of the tenth international classification of diseases). We obtained data from the National Discharge databases available at the Ministry of Health website. We estimated the number of discharges per month and per seasonality (cold /template), and the Standardized Incidence Ratio (SIR) with the formula: number of observed cases/expected cases (average annual hospitalizations), stratified by sex and age (< 50 years, 50-64 years, 6574 years, ≥ 75 years). We evaluated the effect of sex with binomial regressions for the different age strata. Results: We assessed 59,557 AMI hospitalizations (69% men, with and without ST elevation segment). May, June and July (austral winter) had a SIR of 1.10; 1.12 and 1.10, respectively. Women had a 20% excess of hospitalizations during cold seasons at any age. In men, the excess of hospitalizations increased from 9% in those aged < 50 years to 21% in those ≥ 75 years (p = 0.043). When comparing women and men, women aged < 50 years showed the higher risk of being hospitalized during cold seasons (adjusted risk ratio = 1.06; 95% confidence intervals 1.01-1.13). Conclusions: Women have a stronger seasonal pattern in AMI hospitalizations than men. While this effect increases with age in men, in women it remains constant at all ages.
Descritores: Admissão do Paciente/estatística & dados numéricos
Estações do Ano
Infarto do Miocárdio/epidemiologia
-Alta do Paciente/estatística & dados numéricos
Fatores de Tempo
Distribuição Binomial
Chile/epidemiologia
Fatores Sexuais
Incidência
Análise Multivariada
Fatores Etários
Distribuição por Sexo
Distribuição por Idade
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Idoso
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Chile
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Id: biblio-1043140
Autor: Martínez, Matías; Herrada, Luis; Muñoz, Ana; Chávez, Camila; Jirón, Marcela.
Título: Prescripción de opioides al alta de un servicio de urgencia / Prescription of opioids at the moment of discharge from an emergency department
Fonte: Rev. méd. Chile;145(12):1565-1568, dic. 2017. tab.
Idioma: es.
Projeto: FONIS.
Resumo: Background There is a worrisome increase in opioid prescription worldwide. Their use and overuse may cause adverse outcomes. Aim To determine incidence and characteristics of opioid prescription at discharge at an emergency department (ED). Material and Methods A prospective observational study in a random sample of adult patients attended at an ED of a teaching hospital. We reviewed medical records prescriptions for each patient to collect information about drugs prescribed, reason and medical indication of use (doses and duration). Results A total of 1,001 patients aged 50 ± 20 years (61% women) were studied. Seven percent of patients received an opioid prescription at discharge from the ED, mainly to treat renal and back pain. The dose, duration of treatments or both were incompletely described in 54% of prescriptions. The dose of tramadol in drops was incomplete in 96% of prescriptions. Conclusions Seven percent of patients discharged from an ED received an opioid prescription, mainly to treat non-oncological acute pain. The lack of information detected in the prescriptions affected quality, safety and effectiveness of the treatment, especially when pharmaceutical formulations were drops.
Descritores: Alta do Paciente/estatística & dados numéricos
Prescrições de Medicamentos/estatística & dados numéricos
Serviço Hospitalar de Emergência/estatística & dados numéricos
Prescrição Inadequada/estatística & dados numéricos
Analgésicos Opioides/administração & dosagem
-Valores de Referência
Fatores de Tempo
Tramadol/administração & dosagem
Padrões de Prática Médica
Chile
Estudos Prospectivos
Hospitais Universitários/estatística & dados numéricos
Limites: Humanos
Masculino
Feminino
Adolescente
Adulto
Pessoa de Meia-Idade
Idoso
Adulto Jovem
Tipo de Publ: Estudo Observacional
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1337606
Autor: Bernardino, Elizabeth; Silva, Otilia Beatriz Maciel da; Gallo, Valeria Cristina Lopes; Vilarinho, Jéssica Oliveira Veloso; Silva, Olivia Luciana dos Santos; Selleti, Jaqueline Dias do Nascimento.
Título: Enfermeiras de Ligação na Gestão de Altas do Complexo Hospital de Clínicas / Liaison nurses in the discharge management of the hospital de clinicas complex / Enfermeras de enlace en la gestión de alta del complejo hospital de clinicas
Fonte: Enferm. foco (Brasília);12(7, supl 1):72-76, out. 2021. tab.
Idioma: pt.
Resumo: Objetivo: apresentar o trabalho desenvolvido pelas enfermeiras de ligação no Serviço de Gestão de Altas do Complexo Hospital de Clínicas da Universidade Federal do Paraná. Método: estudo descritivo do tipo relato de experiência sobre a concepção, implementação e resultados de um modelo de gestão de altas. Resultados: estabelecimento de estratégias de integração com a rede, elaboração de protocolos assistenciais, gerenciamento de 13.513 altas hospitalares entre os anos de 2017 e 2020; monitoramento telefônico após a alta de usuário internados por Covid-19; instituição de campo de estagio para enfermeiros residentes; e produções científicas. Considerações finais: destacou-se o papel da enfermeira de ligação como coordenadora do planejamento da alta hospitalar. (AU)

Objective: To present the work developed by the liaison nurses at the Discharge Management Service of the Hospital de Clinicas Complex of the Federal University of Paraná. Methods: Descriptive study of the experience report type on the design, implementation and results of a discharge management model. Results: Establishment of integration strategies with the network, development of care protocols, management of 13,513 hospital discharges between 2017 and 2020; telephone monitoring after discharge of users hospitalized by Covid-19; field internship institution for resident nurses; and scientific productions. Conclusion: Highlighted the role of the liaison nurse as coordinator of hospital discharge planning. (AU)

Objetivo: Presentar el trabajo desarrollado por enfermeras de enlace del Servicio de Gestión de Egresos en el Complejo Hospital de Clínicas de la Universidad Federal de Paraná. Métodos: Estudio descriptivo del tipo narrativas de experiencia sobre la concepción, implementación y resultados de un modelo de gestión de altas. Resultados: Establecimiento de estrategias de integración con la red, elaboración de protocolos de atendimiento, gerenciamiento de 13.513 egresos hospitalarios entre 2017 y 2020; seguimiento telefónico posterior al recibimiento de alta en usuarios hospitalizados por Covid-19; institución de prácticas de campo para enfermeros residentes; y producciones científicas. Conclusión: Destacase el papel de la enfermera de enlace como coordinadora de la planificación del alta hospitalaria. (AU)
Descritores: Continuidade da Assistência ao Paciente
-Alta do Paciente
Enfermagem
Cuidado Transicional
Responsável: BR1898.2 - Biblioteca


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Texto completo SciELO Chile
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Id: biblio-1058615
Autor: Mardones, M. Luisa; Frenz, Patricia.
Título: Mortalidad por cáncer de vesícula y egresos hospitalarios por patología biliar en Chile 2002-2014, en relación a la garantía GES colecistectomía preventiva / Changes in gallbladder cancer mortality and hospital discharges due to preventive cholecystectomy in Chile
Fonte: Rev. méd. Chile;147(7):860-869, jul. 2019. tab, graf.
Idioma: es.
Resumo: Background: Gallbladder cancer is a relevant public health problem in Chile. Aim: To analyze the mortality trend due to gallbladder cancer and hospital discharges due to biliary disease between 2002 and 2014. To analyze the effect on these parameters of the new health system called explicit guaranties in health whose acronym in Spanish is GES. Material and Methods: Mortality and hospital discharge databases available at the website of the Ministry of Health were analyzed. Changes in crude and adjusted rates were evaluated, analyzing data by geographical regions, sex and age. The standardization was carried out using the direct method and using as reference the Chilean population in 2002. The trends were evaluated through the Poisson regression method. Results: There is a 4.5% trend towards a decreasing mortality at a national level, as compared with the figures before GES came into force. Mortality among people aged 35 to 49 decreased by 4% before GES, and by 8% after GES. The trend of hospital discharges varied from −1% before GES, to a 2% increase after GES. Discharges among people aged 35-49 years increased from 0.1% to 2.9%. Conclusions: The discharge rate increase after GES, does not yet show a break in the reduction of mortality at the national level, although it does benefit the group of 35 to 49 years.
Descritores: Alta do Paciente/estatística & dados numéricos
Neoplasias da Vesícula Biliar/mortalidade
-Colecistectomia
Chile/epidemiologia
Análise de Regressão
Estudos Retrospectivos
Neoplasias da Vesícula Biliar/cirurgia
Limites: Humanos
Masculino
Feminino
Adulto
Pessoa de Meia-Idade
Tipo de Publ: Estudo Observacional
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Chile
Texto completo
Id: biblio-1139370
Autor: Carvajal, Sandra; Quintero, Jaime; Ocampo, Edward; Perafán, Pablo; Carvajal, Daniel; Pava, Luis Fernando.
Título: Supervivencia a 30 días y 1 año de pacientes con muerte súbita con posterior colocación de dispositivo cardíaco implantable en un hospital de alta complejidad / Patients with sudden cardiac death receiving an implantable cardiac device: survival at 30 days and one year
Fonte: Rev. méd. Chile;148(6):772-777, jun. 2020. tab.
Idioma: es.
Resumo: Background: The use of implantable cardiac devices in patients with sudden cardiac arrest has contributed to their survival. Aim: To determine the survival rate at 30 days and one year after hospital discharge of patients who had a cardiac arrest with subsequent placement of an implantable cardiac device. Material and Methods: Twenty-three patients older than 18 years who presented sudden extra-institutional or intra-institutional death with subsequent implantation of an implantable cardiac device and whose survival was recorded at 30 days and one year, were included. A univariate analysis was performed. Results: Eighteen patients had an extra institutional cardiac arrest. All patients were discharged alive. We could not ascertain the health status of one patient at follow-up. Twenty-one patients had a Cerebral Performance Category (CPC) of 1 at discharge. One patient died of a stroke within 30 days and one patient died due to an arrhythmic electrical storm one year later. Twenty patients survived at least one year after hospital discharge. Conclusions: Survival at 30 days and one year, was high in patients with sudden death or cardiac arrest who required intracardiac devices.
Descritores: Desfibriladores Implantáveis
Parada Cardíaca/terapia
-Alta do Paciente
Fatores de Tempo
Taxa de Sobrevida
Morte Súbita Cardíaca/etiologia
Limites: Humanos
Responsável: CL1.1 - Biblioteca Central


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Id: biblio-1292120
Autor: Basso, Daiana; Bermúdez, Carolina; Santoro Gallardo, Sofía; Tonini, Francisco; Torres, Federico; Ferrero, Fernando; Ibarra, Mariano.
Título: Reingresos hospitalarios en un hospital pediátrico de tercer nivel: Prevalencia, características asociadas y prevenibilidad / Hospital readmissions at a tertiary care children's hospital: Prevalence, associated characteristics, and preventability
Fonte: Arch. argent. pediatr;119(5):e435-e440, oct. 2021. tab, ilus.
Idioma: en; es.
Resumo: Introducción. Los reingresos hospitalarios en pediatría representan un problema grave, potencialmente evitable, en los sistemas de salud. Existe poca información sobre el tema en nuestro medio. Objetivo. Estimar la tasa de reingreso, la proporción de reingresos potencialmente prevenibles y las características asociadas a estos. Material y métodos. Estudio transversal que incluyó reingresos hospitalarios de pacientes de 0 a 18 años, internados en un hospital pediátrico de tercer nivel entre el 1 de enero de 2018 y el 31 de diciembre de 2018. Se evaluó si los reingresos fueron potencialmente prevenibles según tuvieran o no relación con el ingreso previo. Resultados. Sobre 8228 ingresos hospitalarios contabilizados en el período de estudio, se observó una tasa de reingresos por cualquier causa de 10 % a 30 días y del 7,1 % a 15 días. La proporción de reingresos clasificados como potencialmente prevenibles fue de 47,9 % a los 30 días y de 47,5 % a 15 días. No se observaron diferencias estadísticamente significativas entre los reingresos a 30 y a 15 días respecto de la edad de los pacientes, la cobertura de salud, la presencia de una enfermedad crónica ni la causa del reingreso. Conclusión. La tasa de reingresos hospitalarios fue de 10 % a 30 días del egreso y de 7,1 % a 1 días; casi la mitad de ellos se consideraron potencialmente prevenibles

Introduction. Hospital readmissions in pediatrics are a severe, potentially avoidable problem of health systems. In our setting, there is little information about this topic. Objective. To estimate the rate of readmissions, the proportion of potentially preventable readmissions, and their associated characteristics. Material and methods. Cross-sectional study including hospital readmissions of patients aged 0-18 years, admitted to a tertiary care children's hospital between January 1st and December 31st, 2018. Readmissions were assessed as potentially preventable based on whether they were or not related to the previous admission. Results. Out of 8228 hospital admissions recorded in the study period, the rate of readmissions for any cause was 10 % at 30 days and 7.1 % at 15 days. The proportion of readmissions classified as potentially preventable was 47.9 % at 30 days and 47.5 % at 15 days. No statistically significant differences were observed between readmissions at 30 and 15 days in terms of patient age, health insurance, presence of chronic disease or cause of readmission. Conclusion. The rate of hospital readmissions was 10 % at 30 days and 7.1 % at 15 days of discharge; almost half of them were considered potentially preventable.
Descritores: Alta do Paciente
Readmissão do Paciente
-Atenção Terciária à Saúde
Prevalência
Estudos Transversais
Estudos Retrospectivos
Hospitais
Limites: Humanos
Recém-Nascido
Lactente
Pré-Escolar
Criança
Adolescente
Responsável: AR94.1 - Centro de Información Pediatrica


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Id: biblio-1121684 LILACS-Express
Autor: Delmiro, Andrezza Rayana da Costa Alves; Pimenta, Erika Acioli Gomes; Nóbrega, Vanessa Medeiros da; 0000-0003-2643-5638Fernandes, Leiliane Teixeira Bento; Barros, Gabriela Cavalcanti.
Título: Equipe multiprofissional no preparo para a alta hospitalar de crianças com condições crônicas / Multi-professional team in hospital discharge of children and adolescents with chronic conditions
Fonte: Ciênc. cuid. saúde;19:e50418, 20200000.
Idioma: pt.
Resumo: Objective: to know the preparation for hospital discharge carried out by the multi-professional health team for children with chronic conditions and their families. Method: qualitative, exploratory-descriptive research carried out between November 2018 and March 2019 through semi-structured interviews with ten professionals from the multidisciplinary health team at the Pediatric Clinic of a hospital in Paraíba. The interviews were submitted to Minayo's Thematic Analysis. Results: the preparation for hospital discharge is complex and suffers several influences from the dynamics of the service. We observed that it is difficult to include integrated actions in the preparation for discharge during the daily care of the multi-professional team. During this process, the importance of including the child in care is highlighted, emphasizing the need for self-perception about their current health situation, as well as the possibility of carrying out self-care, depending on their age, understanding, and risks when performing the procedure. Final considerations: there are several weaknesses in the implementation of the preparation for hospital discharge in the pediatric clinic, such as the lack of a protocol or standard that guides this process, carrying out disjointed and individualized interventions inherent to each professional training, hindering the family's effective learning process, compromising the safe return home.

Objetivo: Conhecer o preparo para alta hospitalar realizado pela equipe multiprofissional de saúde a crianças com condições crônicas e seus familiares. Método: Pesquisa qualitativa, exploratória-descritiva, realizada entre novembro de 2018 e março de 2019por meio de entrevista semiestruturada com dez profissionais da equipe multiprofissional de saúde da Clínica Pediátrica de um hospital da Paraíba. As entrevistas foram submetidas à Análise Temática de Minayo. Resultados: O preparo para a alta hospitalar é complexo e sofre diversas influências da dinâmica do serviço. Evidenciou-se dificuldade de inclusão de ações integradas no preparo para alta durante a assistência cotidiana da equipe multiprofissional. Durante esse processo, destaca-se a importância da inclusão da criança nos cuidados, ressaltando a necessidade da autopercepção sobre sua situação atual de saúde, assim como a possibilidade de realizar o autocuidado, a depender da sua idade, compreensão e dos riscos ao realizar o procedimento. Considerações finais: Há diversas fragilidades na implementação do preparo para a alta hospitalar na clínica pediátrica, como a inexistência de protocolo ou norma que balize esse processo, realização de intervenções desarticuladas e individualizadas inerentes a cada formação profissional, dificultando o processo de aprendizagem efetivo da família, comprometendo o retorno ao domicílio com segurança.
Descritores: Equipe de Assistência ao Paciente
Alta do Paciente
-Pediatria
Autocuidado
Família
Criança
Saúde da Criança
Doença Crônica
Enfermagem
Empatia
Hospitais
Limites: Humanos
Masculino
Feminino
Criança
Responsável: BR513.1 - Biblioteca Central


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Texto completo SciELO Chile
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Id: biblio-902538
Autor: Rossel, Víctor; Díaz-Toro, Felipe; Verdejo, Hugo; Concepción, Roberto; Sepúlveda, Luis; Castro, Pablo; Vukasovic, José Luis; Bernales, Angie.
Título: Galectina-3: experiencia en pacientes chilenos con diagnóstico de insuficiencia cardíaca descompensada / Galectin-3 levels in patients hospitalized for decompensated heart failure
Fonte: Rev. méd. Chile;145(6):734-740, June 2017. tab, graf.
Idioma: es.
Resumo: Background: Galectin-3 (Gal-3) is a mediator of myocardial fibrosis involved in cardiac remodeling and a potential new prognosis marker in heart failure (HF). Aim: To measure Gal-3 at the moment of discharge in patients hospitalized for HF and its association with different variables. Material and Methods: Patients hospitalized for decompensated HF from four hospitals between August 2014 and March 2015, were included. Demographic, clinical and laboratory variables were recorded at the time of admission. At discharge, a blood sample was withdrawn to measure Gal-3 and brain natriuretic propeptide (Pro-BNP). Patients were separated in two groups, according to the level of Gal-3 (using a cutoff value of 17.8 ng/mL), comparing clinical and laboratory values between groups. Results: We included 52 patients with HF aged 70 ± 17 years (42% females). Functional capacity was III-IV in 46% of patients and the ejection fraction was 34.9 ± 13.4%. Pro-BNP values at discharge were 5,323 ± 8,665 pg/mL. Gal-3 values were 23.8 ± 16.6 ng/mL. Sixty percent of patients had values over 17.8 ng/mL. Those with elevated Gal-3 levels were older (75 ±16 and 62 ± 15 years, respectively, p = 0.025) and were hypertensive in a higher proportion (90.5% and 57.1% respectively, p = 0.021). Conclusions: In patients hospitalized for HF, Gal-3 levels are higher in older and hypertensive subjects.
Descritores: Galectina 3/sangue
Insuficiência Cardíaca/sangue
Hospitalização
-Alta do Paciente
Prognóstico
Volume Sistólico
Biomarcadores/sangue
Estudos Transversais
Fatores Etários
Peptídeo Natriurético Encefálico/sangue
Hipertensão/sangue
Limites: Humanos
Masculino
Feminino
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Responsável: CL1.1 - Biblioteca Central


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Texto completo SciELO Brasil
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Id: biblio-1133537
Autor: Brandão, Bárbara Carolina; Silva, Magali Aparecida Orate Menezes da; Rodrigues, Caroline Garcia; Damando, Marina Dipe; Lourenção, Luciano Garcia.
Título: Relação entre ingestão oral e gravidade do Acidente Vascular Cerebral Agudo / Relationship between oral intake and severity of Acute Stroke
Fonte: CoDAS;32(5):e20180154, 2020. tab, graf.
Idioma: pt.
Resumo: RESUMO Objetivo: Correlacionar gravidade do AVC com nível de ingestão oral desta população e comparar os dois fatores mencionados na admissão e após gerenciamento da deglutição. Método: Participaram 137 pacientes internados na Unidade de Acidente Vascular Cerebral (UAVC) de um hospital de ensino. Durante a permanência na UAVC, os pacientes foram submetidos diariamente a avaliação neurológica e aplicação da escala National Institutes of Health Stroke Scale (NIHSS), para avaliação da gravidade do AVC, que varia de zero (sem evidência de déficit neurológico) a 42 (paciente irresponsivo, em coma). Após cada atendimento fonoaudiológico diário, foi aplicada a escala de ingestão oral Functional Oral Intake Scale (FOIS), que consiste em um marcador para evolução da ingestão por via oral e varia do nível um (nada por via oral) a sete (via oral total sem restrições). Os dados das escalas NIHSS e FOIS de admissão e alta foram analisados e comparados, para verificar associação entre melhora da disfagia orofaríngea com melhora funcional dos indivíduos. Resultados: Na admissão, 63 (46,0%) pacientes apresentaram AVC leve e 38 (27,7%), grave e gravíssimo; 46 (33,6%) com ingestão oral e necessidade de preparo especial ou compensações. Na alta, houve aumento de pacientes com AVC leve (76 - 55,5%); ingestão oral sem necessidade de preparo especial ou compensações, porém com restrições alimentares (18 - 13,1%), e ingestão oral sem restrições (44 - 32,1%). Conclusão: O nível de ingestão oral aumentou conforme a gravidade do AVC diminuiu. O atendimento fonoaudiológico contribuiu para diminuição da gravidade do AVC e melhoria da ingestão oral.

ABSTRACT Purpose: To correlate stroke severity with oral intake level of the studied population and compare the two factors at the time of admission and after swallowing management. Methods: A total of 137 patients hospitalized in the cerebral vascular accident unit (CVAU) of a teaching hospital participated. During the stay at CVAU, the patients were submitted to daily neurological evaluation and application of National Institutes of Health Stroke Scale (NIHSS), to evaluate the severity of stroke, ranging from zero (without evidence of neurological deficit) to 42 (in coma and unresponsive). Functional Oral Intake Scale (FOIS), which is a marker for evolution of oral intake and ranges from level one (nothing oral) to seven (oral total restrictions). Data from the NIHSS and FOIS scales of admission and discharge were analyzed and compared to verify association between improvement of oropharyngeal dysphagia with functional improvement of individuals. Results: At admission, 63 (46.0%) patients had mild strokes, 38 (27.7%) had severe and very severe stroke; 46 (33.6%) had oral intake and need for special preparation or compensations. At discharge, there was an increase in patients with mild stroke (76 - 55.5%); oral intake without special preparation or compensations, but with food restrictions (18 - 13.1%), and oral intake without restrictions (44 - 32.1%). Conclusion: The level of oral intake increased as the severity of stroke decreased. Speech and language therapy contributed to a decrease in stroke severity and improvement in oral intake.
Descritores: Transtornos de Deglutição/etiologia
Acidente Vascular Cerebral/complicações
-Alta do Paciente
Índice de Gravidade de Doença
Deglutição
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-1223334
Autor: Budinich, Marilú; Sastre, Jorge.
Título: Planificación del alta / Discharge planning
Fonte: Rev. Méd. Clín. Condes;31(1):76-84, ene.-feb. 2020. ilus, tab.
Idioma: es.
Resumo: El alta hospitalaria constituye una transición clave en salud, cuya importancia frecuentemente queda invisibilizada ante el apremio por hospitalizaciones más abreviadas y procesos que por años se han desarrollado de determinada forma. Un alta planificada y/o ejecutada de manera inadecuada puede significar reingresos y repercutir negativamente a nivel del usuario, sus familias y sistemas de atención. Múltiples intervenciones, con distinto nivel de evidencia buscan optimizar el proceso, enfocándose en los equipos, dispositivos y/o usuarios involucrados. Dado que no existe una única estrategia efectiva, el presente artículo recorre aspectos que la literatura ha identificado como relevantes al momento de trabajar por altas planificadas.

Hospital discharge is a key transition health process, whose relevance is often overshadowed by the urgency of shortened hospitalizations and health institutions routines that have been settled for many years. An unplanned and inappropriate discharge can lead to readmissions and negative implications for patients, caregivers and hospitals. Therefore, multiple interventions exist, with different levels of evidence that seek to improve the discharge process by focusing on health teams, institutions and patients. Given there is no single effective strategy, this article covers aspects that several authors have identified as relevant when working on discharge planning.
Descritores: Planejamento de Assistência ao Paciente/organização & administração
Alta do Paciente
Idoso Fragilizado
Hospitalização
-Continuidade da Assistência ao Paciente/organização & administração
Limites: Humanos
Idoso
Responsável: CL1.1 - Biblioteca Central



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