Long duration of hospital stay in a clinician service
In orcler to idenhify detcrmining factors and complicatioris ¡ti illness, we evaluatccl patients under long period hospitalization, in a Clinical Service. Methocls: retrospective and descriptive stud les. Figures were evaluated by Chi, Fisher T and Test T, thrue variables. Wc cal...
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Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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I10-R10-article-27584 |
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Universidad Nacional de Córdoba |
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Revistas de la UNC |
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Español |
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Artículo revista |
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length of stay staylengths duration of slay cross infection internación prolongada complicaciones nosocomiales estadía en UTI estancia prolongada |
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length of stay staylengths duration of slay cross infection internación prolongada complicaciones nosocomiales estadía en UTI estancia prolongada Molnar, Soledad Belleti, Gerardo A Yorio, Marcelo A Long duration of hospital stay in a clinician service |
topic_facet |
length of stay staylengths duration of slay cross infection internación prolongada complicaciones nosocomiales estadía en UTI estancia prolongada |
author |
Molnar, Soledad Belleti, Gerardo A Yorio, Marcelo A |
author_facet |
Molnar, Soledad Belleti, Gerardo A Yorio, Marcelo A |
author_sort |
Molnar, Soledad |
title |
Long duration of hospital stay in a clinician service |
title_short |
Long duration of hospital stay in a clinician service |
title_full |
Long duration of hospital stay in a clinician service |
title_fullStr |
Long duration of hospital stay in a clinician service |
title_full_unstemmed |
Long duration of hospital stay in a clinician service |
title_sort |
long duration of hospital stay in a clinician service |
description |
In orcler to idenhify detcrmining factors and complicatioris ¡ti illness, we evaluatccl patients under long period hospitalization, in a Clinical Service. Methocls: retrospective and descriptive stud les. Figures were evaluated by Chi, Fisher T and Test T, thrue variables. Wc cal[ long penad hospitalizatíon to a staying of 10 days or longer. Results: 322 patients were evaluated. 50(15,5%) presented (LS) and 272 < 10 days staying. Age average vas 63,8 for < 10 days and 66 for (LS). Mostly of diagnosis at adniission for < 10 days were respiratory dysfunction (25 %) including pneumonia (10 %), urinary infection and heart failure, and for LS pneumonia 20 %, acute neut- ological disease 18 %. The 46 % of LS requireci surgery va. 20,6 % (p < 1,01). The LS neecled parenteral nutrition 26 % vs. 2,5 % (p < 0,02). The average of inaxinuin aniount of drugs/day in staying was: 5.8 for < 10 days and 8.76 for LS (p < 0.01). Hospital coinplications in LS were 28 % VS. 11 % (p < 0.01). mainly nosocoinial pneumonia (p < 0,01) and endovascular infections (p <0.01). Staying in ICU was 54 % for LS va. 19 % (p < 0.01), and average of days in intensive care unit (ICU) vas 8 in LS vs. 3 (p <0,01). There wasn't any difference ¡ti inortality. Conclusion: the admlssi on's diagnosis and the ICU's staying were the main causes of LS, but not so age and co-morbilities studied. The LS patients require more compiex and expensive staying. They present more hospital complications
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publisher |
Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
publishDate |
2021 |
url |
https://revistas.unc.edu.ar/index.php/med/article/view/27584 |
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AT molnarsoledad longdurationofhospitalstayinaclinicianservice AT belletigerardoa longdurationofhospitalstayinaclinicianservice AT yoriomarceloa longdurationofhospitalstayinaclinicianservice AT molnarsoledad internacionprolongadaenunserviciodeclinicamedica AT belletigerardoa internacionprolongadaenunserviciodeclinicamedica AT yoriomarceloa internacionprolongadaenunserviciodeclinicamedica |
first_indexed |
2022-08-20T01:27:15Z |
last_indexed |
2022-08-20T01:27:15Z |
_version_ |
1770719055452307456 |
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I10-R10-article-275842021-03-25T14:28:58Z Long duration of hospital stay in a clinician service Internación prolongada en un servicio de clínica Médica Molnar, Soledad Belleti, Gerardo A Yorio, Marcelo A length of stay staylengths duration of slay cross infection internación prolongada complicaciones nosocomiales estadía en UTI estancia prolongada In orcler to idenhify detcrmining factors and complicatioris ¡ti illness, we evaluatccl patients under long period hospitalization, in a Clinical Service. Methocls: retrospective and descriptive stud les. Figures were evaluated by Chi, Fisher T and Test T, thrue variables. Wc cal[ long penad hospitalizatíon to a staying of 10 days or longer. Results: 322 patients were evaluated. 50(15,5%) presented (LS) and 272 < 10 days staying. Age average vas 63,8 for < 10 days and 66 for (LS). Mostly of diagnosis at adniission for < 10 days were respiratory dysfunction (25 %) including pneumonia (10 %), urinary infection and heart failure, and for LS pneumonia 20 %, acute neut- ological disease 18 %. The 46 % of LS requireci surgery va. 20,6 % (p < 1,01). The LS neecled parenteral nutrition 26 % vs. 2,5 % (p < 0,02). The average of inaxinuin aniount of drugs/day in staying was: 5.8 for < 10 days and 8.76 for LS (p < 0.01). Hospital coinplications in LS were 28 % VS. 11 % (p < 0.01). mainly nosocoinial pneumonia (p < 0,01) and endovascular infections (p <0.01). Staying in ICU was 54 % for LS va. 19 % (p < 0.01), and average of days in intensive care unit (ICU) vas 8 in LS vs. 3 (p <0,01). There wasn't any difference ¡ti inortality. Conclusion: the admlssi on's diagnosis and the ICU's staying were the main causes of LS, but not so age and co-morbilities studied. The LS patients require more compiex and expensive staying. They present more hospital complications Evaluamos pacientes para identifica factores determinantes de estadía hospitalaria prolongada y complicaciones de la misma. MATERIAL Y MÉTODO: estudio retrospectivo descriptivo. Los datos se procesaron utilizando Chi , Test de Fisher y Test T según variables. Definimos internación prolongada (IP) estadía hospitalaria igual o mayor a 10 días. RESULTADOS: se analizaron 322 pacientes. Cincuenta (15.5%) presentaron IP y 272 (84.5%) estadía < 10 días. El promedio de edad fue 63.8 para <10 días y 66 para IPresentaron coinorbiliclacles 87% en < 10 chas y 86% IP Los diagnósticos de ingreso más frecuentes en < 10 días fueron patología respiratoria (25%), incluyendo eumonía (10%), infección urinaria e insuficiencia cardíaca; y en IP neumonía (20%) y patología neurológica aguda (18%) El 46% de IP requirió cirugía vs 20.6% (p<O.OI ). La IP requirió alimentación enteral 26% vs 12.5% (p <0.02) El promedio de cantidad máxima de fármacos/día en la internación fue: 5.8 en < 10 días y 8.76 en IP (p<O.Ol). Las complicaciones nosocomiales en IP fueron 28% vs 11% (p<0.01). principalmente neumonía intrahospitalaria (p<O.Ol) e infección endovascular (p<0.01).La estadía en terapia Intensiva (UTI) fue 54% en IP VS 19% (p<0.01). y el promedio de días en UTI fue de 8 en IP vs 3 (p<O.Ol). No hubo diferencias en la mortalidad CONCLUSIONES: el motivo de ingreso y estadía en UTI fueron las causas principales de IP, no así la edad y comorbilidades estudiadas. El paciente con IP demanda mayor complejidad, costos y presenta más complicaciones nosocoiniales. Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27584 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 62 No. 1 (2005); 8 - 14 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 62 Núm. 1 (2005); 8 - 14 Revista da Faculdade de Ciências Médicas de Córdoba; v. 62 n. 1 (2005); 8 - 14 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/27584/29060 Derechos de autor 2020 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |