Impacto clínico y económico de la Unidad del Paciente Pluripatológico

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Revista clinica espanola Pub Date : 2026-05-01 Epub Date: 2026-04-14 DOI:10.1016/j.rce.2026.502521

F. Martínez García , L.M. Cantero Nieto , T. Bruno Pérez , A.J. Trujillo Santos

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Abstract

Introduction

Managing patients with a high burden of chronic conditions and multiple pathologies poses a challenge to the sustainability of the healthcare system. We evaluated the impact of establishing a Multimorbidity Patient Unit (MUP) on reducing emergency department visits and hospital admissions.

Methods

This was a pre-post observational study that included patients enrolled in the MUP between November 2022 and December 2023. Demographic and clinical variables were analyzed, as well as the number of emergency department visits and hospital admissions before and after enrollment. The savings resulting from the implementation of the unit were estimated.

Results

Eighty-six patients were included (mean age 81.2 years; 52.3% male), with the most prevalent diagnoses being heart failure (97.7%), hypertension (95.3%), and chronic kidney disease (91.9%). Avoidable emergency room visits decreased by 64.18% and avoidable hospital admissions decreased by 64.47%. The estimated savings during the study period was €541,723.20.

Conclusions

The MUP proved to be a highly cost-effective intervention, significantly reducing avoidable healthcare utilization and improving continuity of care.

Abstract Image

查看原文本刊更多论文

多病理病人单位的临床和经济影响

管理慢性疾病和多种病理的高负担患者对医疗保健系统的可持续性提出了挑战。我们评估了建立多病病人单位（MUP）对减少急诊科就诊和住院的影响。这是一项前后观察性研究，纳入了2022年11月至2023年12月期间参加MUP的患者。分析了人口统计学和临床变量，以及入组前后急诊科就诊次数和住院次数。估计了执行该股所产生的节余。结果本组共纳入86例患者，平均年龄81.2岁，男性占52.3%，主要诊断为心力衰竭（97.7%）、高血压（95.3%）和慢性肾脏疾病（91.9%）。可避免的急诊次数减少了64.18%，可避免的住院次数减少了64.47%。研究期间估计节省54 1723.20欧元。结论MUP被证明是一种高成本效益的干预措施，显著减少了可避免的医疗保健利用，提高了护理的连续性。

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

Revista clinica espanola 医学-医学：内科

CiteScore

4.40

自引率

6.90%

发文量

审稿时长

28 days

期刊介绍： Revista Clínica Española published its first issue in 1940 and is the body of expression of the Spanish Society of Internal Medicine (SEMI). The journal fully endorses the goals of updating knowledge and facilitating the acquisition of key developments in internal medicine applied to clinical practice. Revista Clínica Española is subject to a thorough double blind review of the received articles written in Spanish or English. Nine issues are published each year, including mostly originals, reviews and consensus documents.