Biomedical subjects

M González Villar

Publications and source records attributed to M González Villar.

2 recordsLinked to original sources

PubMed2005

[Activity of a short-stay observation unit in an emergency department of a tertiary hospital. A two-year experience].

OBJECTIVES: To describe the characteristics of the activity of a short stay observation unit (SSOU) in a tertiary hospital, and to analyze its influence on the hospitalization rate. MATERIAL AND METHODS: The activity of the SSOU during the first 2 years after opening is described. Descriptive variables were registered. Hospitalization activity during the first 5 months after opening the unit was compared with the activity during the same period in the previous year. RESULTS: From June 1, 2001 to May 31, 2003, 74,989 patients were admitted to the emergency department (ED) and 2,438 (3.25 %) were transferred to the SSOU. The mean age of the patients was 64.55 months. The mean length of stay was 5 hours and 50 minutes. The main discharge diagnoses were gastrointestinal disease (30.2 %), accidents (15 %), respiratory illness (12.5 %) and febrile syndrome (9.8 %). The hospitalization rate in patients admitted to the ED was 5.8 % from June 1, 2000 to October 1, 2000 and was 4.28 % in the same period in 2001. The mean diagnosis-related group (DRG)-weight was 0.8648 in 2000 and was 0.9078 in 2001. Total weight was 680.66 in 2000 and 495.69 in 2001, allowing an approximate saving of 329,162 Euros. CONCLUSIONS: The opening of the SSOU has been useful in the assessment and treatment of common childhood diseases and has helped reduce the hospitalization rate, increase the complexity of inpatients and lower costs.

Adolescent↗

PubMed2001

[Support intervention in grieving patients].

OBJECTIVES: Principal: to describe the characteristics of grievers in an urban area. SECONDARY: To describe the risk factors for pathological grief, and the distribution of those cases of grief which are resolved and those tending to become chronic. DESIGN: Descriptive study. SETTING: Txantrea Health Centre, Pamplona. PATIENTS: Consecutive sampling of all the family members of people who died between January and July 1999. In 4 basic care units, a grief-monitoring procedure was followed with 62 bereaved persons for 8 months. In the 8 other basic care units, the 21 bereaved people recruited formed a control group. INTERVENTION: Initial interview with risk factors of pathological grief described in the PAPPS. Periodical consultations for help. Final interview with test from the Texas Revised Inventory of Grief Manual to determine the evolution of grief. MEASUREMENTS AND MAIN RESULTS: Over 90% had some risk factor. Considerable numbers were self-aware of difficulty in overcoming earlier grief. Over 50% did not attend even half their appointments, which was related to low income (p < 0.005) and background of depression (p < 0.04). Low income was related to worse evolution of grief (p < 0.01). There were high proportions of prolonged and delayed grief, without any differences found between the intervention and control groups. CONCLUSIONS: There were large numbers of bereaved people with risk factors, frequent failure to adhere to the proposed programme, and a high number of cases of lengthy and delayed grief.

Adult↗