Impacto del seguimiento al alta de Enfermería en Atención Primaria sobre los reingresos hospitalarios tempranos. Estudio observacional longitudinal

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Atencion Primaria Pub Date : 2024-09-12 DOI:10.1016/j.aprim.2024.103083
Raquel Sánchez-Ruano , Pedro López-Paterna , César Alfonso García-Hernández , Ricardo Rodríguez-Barrientos , Elvira Herrero-Sanchox , Marcos Pascual-García , Milagros Rico-Blázquez
{"title":"Impacto del seguimiento al alta de Enfermería en Atención Primaria sobre los reingresos hospitalarios tempranos. Estudio observacional longitudinal","authors":"Raquel Sánchez-Ruano ,&nbsp;Pedro López-Paterna ,&nbsp;César Alfonso García-Hernández ,&nbsp;Ricardo Rodríguez-Barrientos ,&nbsp;Elvira Herrero-Sanchox ,&nbsp;Marcos Pascual-García ,&nbsp;Milagros Rico-Blázquez","doi":"10.1016/j.aprim.2024.103083","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To determine the proportion of people who undergo discharge follow-up when indicated.</p></div><div><h3>Design</h3><p>Retrospective longitudinal observational study, with an analytical approach.</p></div><div><h3>Population</h3><p>persons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n<!--> <!-->=<!--> <!-->289).</p></div><div><h3>Variables</h3><p>Discharge follow-up and readmissions (&lt;30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.</p></div><div><h3>Results</h3><p>Age 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% <span>C</span>I (0.18-0.67)).</p></div><div><h3>Conclusions</h3><p>These findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":"57 2","pages":"Article 103083"},"PeriodicalIF":1.8000,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002257/pdfft?md5=13c6a5c4aefa72e40d2b74a00fb9e6c8&pid=1-s2.0-S0212656724002257-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0212656724002257","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

Abstract

Aim

To determine the proportion of people who undergo discharge follow-up when indicated.

Design

Retrospective longitudinal observational study, with an analytical approach.

Population

persons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n = 289).

Variables

Discharge follow-up and readmissions (<30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.

Results

Age 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% CI (0.18-0.67)).

Conclusions

These findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
初级护理出院随访对早期再入院的影响。纵向观察研究
目的确定在有指征的情况下接受出院随访的人数比例。设计采用分析法进行回顾性纵向观察研究。研究对象为从普林塞萨大学医院出院的任何年龄和性别的患者,入院原因不限,有初级保健出院随访指征。未获得自主个人识别码(CIPA)的用户除外。随机抽样(n = 289)。变量出院随访和再入院(30 天)。社会人口学、临床和出院随访变量均来自基层医疗机构和医院的电子病历。对研究对象的社会人口学和临床特征进行了描述性分析。为了分析出院随访与再入院之间的关系,采用了逻辑回归模型。女性占 55.2%。61.2%的患者接受了随访。根据早期再入院和出院随访之间的逻辑回归模型,并对所有其他因素进行调整后,出院随访组患者再入院的可能性降低了 66%(OR 0.34,95% CI (0.18-0.67))。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Atencion Primaria
Atencion Primaria 医学-医学:内科
CiteScore
2.90
自引率
8.00%
发文量
156
审稿时长
33 days
期刊介绍: Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.
期刊最新文献
[Suicide prevention in the workplace]. [Pharmacological treatment of type 2 diabetes mellitus]. [Analysis of skills and perceptions regarding mHealth in the management of chronic patients by primary care professionals]. Calidad de la atención en podología universitaria. Análisis del cuestionario de satisfacción del paciente Tratamiento analgésico y adecuación terapéutica en los pacientes con enfermedad crónica avanzada. Oportunidades de mejora
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1