: Among the clinical predictors of a heart failure (HF) prognosis, different personal factors have been established in previous research, mainly age, gender, anemia, renal insufficiency and diabetes, as well as mediators (pulmonary embolism, hypertension, chronic obstructive pulmonary disease (COPD), arrhythmias and dyslipidemia). We do not know the role played by contextual and individual factors in the prediction of in-hospital mortality. : The present study has added hospital and management factors (year, type of hospital, length of stay, number of diagnoses and procedures, and readmissions) in predicting exitus to establish a structural predictive model.
View Article and Find Full Text PDFObjectives: To study the behavioural differences between scheduled and emergency admissions in the processes most prevalent in Spanish hospitals and their relationship with the age of patients, comparing 2002 and 2007.
Methods: Observational and descriptive design for those years. Diagnostic related groups (DRGs) were classified into high prevalence (the 25 most frequent) and the rest; four subgroups were prepared according to this (high or low) and admission (elective or not).
Objectives: The main objective of this study is to verify the existence of a direct relation between age, ageing and hospital resources utilization.
Methods: For this purpose, we use not only population variables, but also clinical parameters such as severity and complexity, as proxy of consumption and hospital costs. Through a comprehensive statistical analysis, quantitative variables of the Spanish Minimum Data Set of year 2006 (length of stay, relative weight, number of diagnoses and procedures) according to age groups and gender, types of admission (emergency or scheduled) and discharge (alive or dead), measuring the severity by weight, complications, comorbidities and mortality, and complexity by weight and length of stay.
Introduction: The increase in health care expenditure threatens the financial sustainability of health systems, and is leading to reforms in hospital use. The length of preoperative stay (POS) depends on the number of interventions and cancellations, but also possibly related to the care process itself (complexity, severity) and the patient (age, sex, comorbidity) with repercussions on the total stay and direct costs. There have been investigations on the length of POS in Spain and its possible relationships with these variables, hospital access (urgent or scheduled) and clinical type (originally medical or surgical).
View Article and Find Full Text PDFIntroduction: The World Athletics Championships are considered to be the third most important sporting event on the planet. Before the celebration of their seventh meeting in Seville, Spain, the need for medical care, as in the Olympic Games, was supposed to be low and of minimal complexity. It was nevertheless judged necessary to install strategically located assistance points, and to evaluate the results of this intervention.
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