{"title":"初级护理出院随访对早期再入院的影响。纵向观察研究","authors":"","doi":"10.1016/j.aprim.2024.103083","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To determine the proportion of people who undergo discharge follow-up when indicated.</p></div><div><h3>Design</h3><p>Retrospective longitudinal observational study, with an analytical approach.</p></div><div><h3>Population</h3><p>persons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n<!--> <!-->=<!--> <!-->289).</p></div><div><h3>Variables</h3><p>Discharge follow-up and readmissions (<30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.</p></div><div><h3>Results</h3><p>Age 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% <span>C</span>I (0.18-0.67)).</p></div><div><h3>Conclusions</h3><p>These findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.</p></div>","PeriodicalId":55435,"journal":{"name":"Atencion Primaria","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0212656724002257/pdfft?md5=13c6a5c4aefa72e40d2b74a00fb9e6c8&pid=1-s2.0-S0212656724002257-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Impacto del seguimiento al alta de Enfermería en Atención Primaria sobre los reingresos hospitalarios tempranos. Estudio observacional longitudinal\",\"authors\":\"\",\"doi\":\"10.1016/j.aprim.2024.103083\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><p>To determine the proportion of people who undergo discharge follow-up when indicated.</p></div><div><h3>Design</h3><p>Retrospective longitudinal observational study, with an analytical approach.</p></div><div><h3>Population</h3><p>persons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n<!--> <!-->=<!--> <!-->289).</p></div><div><h3>Variables</h3><p>Discharge follow-up and readmissions (<30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.</p></div><div><h3>Results</h3><p>Age 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% <span>C</span>I (0.18-0.67)).</p></div><div><h3>Conclusions</h3><p>These findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.</p></div>\",\"PeriodicalId\":55435,\"journal\":{\"name\":\"Atencion Primaria\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-09-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S0212656724002257/pdfft?md5=13c6a5c4aefa72e40d2b74a00fb9e6c8&pid=1-s2.0-S0212656724002257-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Atencion Primaria\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0212656724002257\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Atencion Primaria","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0212656724002257","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
摘要
目的确定在有指征的情况下接受出院随访的人数比例。设计采用分析法进行回顾性纵向观察研究。研究对象为从普林塞萨大学医院出院的任何年龄和性别的患者,入院原因不限,有初级保健出院随访指征。未获得自主个人识别码(CIPA)的用户除外。随机抽样(n = 289)。变量出院随访和再入院(30 天)。社会人口学、临床和出院随访变量均来自基层医疗机构和医院的电子病历。对研究对象的社会人口学和临床特征进行了描述性分析。为了分析出院随访与再入院之间的关系,采用了逻辑回归模型。女性占 55.2%。61.2%的患者接受了随访。根据早期再入院和出院随访之间的逻辑回归模型,并对所有其他因素进行调整后,出院随访组患者再入院的可能性降低了 66%(OR 0.34,95% CI (0.18-0.67))。
Impacto del seguimiento al alta de Enfermería en Atención Primaria sobre los reingresos hospitalarios tempranos. Estudio observacional longitudinal
Aim
To determine the proportion of people who undergo discharge follow-up when indicated.
Design
Retrospective longitudinal observational study, with an analytical approach.
Population
persons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n = 289).
Variables
Discharge follow-up and readmissions (<30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.
Results
Age 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% CI (0.18-0.67)).
Conclusions
These findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.
期刊介绍:
Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.