Hospitalización de 780 episodios de infección en 10 servicios de urgencias españoles. ¿Ingreso convencional o unidad de corta estancia?

  1. Llopis Roca, F. 1
  2. Juan Pastor, A. 5
  3. Ferré Losa, C. 2
  4. González del Castillo, J. 3
  5. M. Ruiz Grispan
  6. Martínez Ortiz de Zárate, M. 4
  1. 1 Médico adjunto de Urgencias. Hospital Universitari de Bellvitge. L’Hospitalet de Llobregat, Barcelona
  2. 2 Responsable Médico de la Unidad de Corta Estancia de Urgencias. Hospital Universitari de Bellvitge. L’Hospitalet de Llobregat, Barcelona
  3. 3 Médico adjunto de Urgencias. Hospital Clínico San Carlos, Madrid. Coordinador del grupo de trabajo INFURG-SEMES
  4. 4 Jefe del Servicio de Urgencias. Hospital Universitario de Basurto, Bilbao
  5. 5 Director asistencial del Institut Català de la Salut. Coordinador del grupo de trabajo URG-UCE-SEMES
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Revista:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Año de publicación: 2015

Volumen: 38

Número: 1

Páginas: 59-60

Tipo: Artículo

DOI: 10.4321/S1137-66272015000100006 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Anales del sistema sanitario de Navarra

Objetivos de desarrollo sostenible

Resumen

Background. To study the clinical characteristics of patients with infection attending the emergency department (ED) and compare those admitted to a short stay unit (SSU) with those admitted to a conventional hospital ward (CHW).Methods. A descriptive multicenter cross-sectional analy­sis of infected patients requiring admission from 10 ED with SSU. Data were collected for age, gender, comorbidities, risk factors for multiresistant pathogens, type of infection, sepsis criteria, microbiology and antibiotic treatment.Results. We documented 780 admitted patients, mean age 70.43 years, 31% with heart disease, 29% COPD, 26% diabetes mellitus, 15% prior antibiotic therapy and solid neoplasm. Fifty-four percent were respiratory infections, 22% urinary infections and 8% intra-abdominal infections. Thirteen percent had septic syndrome and beta-lactam (64%) and fluoroquinolones (29%) were the most prescribed antibiotics. When comparing patients admitted to SSU (183) with those admitted to CHW (597), in the latter group there were more comorbidities (86% vs. 78%), more risk factors for multidrug-resistant pathogens (42% vs. 25%) and cultures from different sources were more frequently undertaken (80% vs. 64%) (p <0.05).Conclusions. According to our results, SSU may be an excellent alternative to CHW for patients with prevalent infection and less comorbidity and fewer risk factors for multidrug resistance.

Fuente de los datos: Dialnet