Análisis del esfuerzo terapéutico y el coste económico que se producen en la actividad asistencial a un grupo de pacientes ingresados en proceso de final de vida

IF 0.7 Q4 NURSING

Enfermeria Clinica Pub Date : 2024-11-01 DOI:10.1016/j.enfcli.2024.08.001

Estela Hernández-Bello , Raquel Sánchez-Recio , Àngel Gasch-Gallén

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引用次数: 0

Abstract

Aim

There are social inequalities in access to health care that affect therapeutic effort. The aim of the present study was to determine whether there are differences in expenditure according to days of admission and tests performed by age, sex and population of origin in patients at the end of life.

Methods

Cross-sectional descriptive study, with review of clinical histories of terminally ill patients admitted to a hospital, recruited on the basis of the administration of transfusions, who underwent numerous tests and interventions during their last admission before death. Sociodemographic and clinical variables were studied, as well as the cost of admission and tests.

Results

The 140 patients were hospitalized for an average of 17.41 days (SD: 14.323), with an average cost of €8,264.19 (SD: 6,799.8788) per stay. They underwent 59 tests, which amounted to €532,209.68. Being male, of advanced age and of rural origin saw an increase in the number of days of admission. Older people and women received more tests. No relationship was found between days of hospitalization and expenditure with sociodemographic and clinical variables. There was a relationship between surgical interventions and sex (p = 0.047); between age and receiving oncological treatments (p < 0), other techniques (p < 0), nuclear medicine tests (p = 0.02) and electrocardiograms (p = 0.052).

Conclusions

Many palliative patients die in hospitals receiving numerous tests that increase the number of days of hospitalization and costs. Advanced age determines hospital admissions, but not sex or population of origin.

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分析为一组临终病人提供护理的治疗努力和经济成本。

目的在获得医疗服务方面存在着社会不平等，从而影响了治疗效果。本研究的目的是确定生命末期患者的入院天数和所做检查的费用是否因年龄、性别和原籍人口而存在差异。研究方法：横断面描述性研究，对一家医院收治的末期患者的临床病史进行回顾，这些患者是根据输血情况入院的，在临终前的最后一次住院期间接受了多项检查和干预。结果 140 名患者平均住院 17.41 天（标清：14.323 天），每次住院平均花费 8264.19 欧元（标清：6799.8788 欧元）。他们接受了 59 项检查，总费用达 532 209.68 欧元。男性、高龄和农村人口的入院天数有所增加。老年人和女性接受的检查更多。住院天数和支出与社会人口学和临床变量之间没有关系。手术干预与性别之间存在关系（p = 0.047）；年龄与接受肿瘤治疗（p <0）、其他技术（p <0）、核医学检查（p = 0.02）和心电图检查（p = 0.052）之间存在关系。高龄决定了入院人数，但与性别或原籍人口无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.