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A Sicras Mainar

Publications and source records attributed to A Sicras Mainar.

11 recordsLinked to original sources
PubMed1993

[The evaluation of hospital readmissions in the internal medicine service].

BACKGROUND: The aim of the study is determine the frequency of hospital readmission rate at an internal medicine department in a Community Hospital. We want to verify such a variables there are been associated with the readmission rate. METHODS: 870 patients were analyzed to repeated admissions to the hospital in a period of one year. The general independent variables and the complications were classified. We compared them with the calculation of the odds ratio (OR) in a bivariate and multivariate analysis. RESULTS: The readmission rate was about 15.9% (CI: 13.7-18.3). The male patients (OR = 1.8 [CI 1.2-2.7]) and the great mortality (OR = 2.1 [CI 1.2-3.5]) were variables of great significance. Chronic obstructive pulmonary disease and malignant tumors of lung and pleura--as main diagnosis at discharge--correlated with readmissions. CONCLUSIONS: Evaluation of hospital readmissions is an indicator to be studied.

Adolescent↗
PubMed1992

[Measurement of mortality as the effect of hospital intervention at an internal medicine service].

The mortality measurement by the effect of hospital mediation is little known. The aim of the present study was to evaluate the mortality rate in a Internal Medicine Service of a Regional Hospital and to know there are the mortality risk factors, that might have influenced by hospital mediation. 870 patients were analyzed during a period of one year. The risk factors were classified in three groups: to the individual, to the hospital admission and we compared there with the calculation of the Odds Ratio (OR) and its 95% confidence intervals (95% CI) by a bivariate and multivariate analysis. The mortality rate was about 10.2% (CI: 8.2 +/- 12.2). Age older 70 years, the re-enter and the diagnostic of Cerebral Infarct were the individual factors associated with a higher risk. The insertion of nasogastric catheters and the use of diuretics were the only hospital-related factors that were correlated with mortality. The hospital infection and the heart complication were also the risk factors of death. These findings suggest there are risk factors to report with mortality risk. That could be used to evaluate the clinical resolution in order to reduce the hospital mortality.

Aged↗