Follow up to a multipurpose hospital day care model in Medellin city

Autores/as

  • Juan Camilo Diaz Coronado Universidad CES Artmedica
  • Daniel Efrén Rodríguez Ariza Universidad CES
  • Mauricio Andrés Quintero Betancur universidad CES
  • María Camila Soto Osorio universidad CES
  • Ricardo Antonio Pineda Tamayo Artmedica

DOI:

https://doi.org/10.21615/cesmedicina.32.2.4

Resumen

Introduction: Home-care models are safe and effective alternatives to the care of patients. The day care hospitals provide specialized care and targeted treatments with adequate quality standards, that can fulfill the expectations of patients and their families by different measures. However, this model has not been sufficiently explored in Colombia. This study aims to determine the safety and efficacy in terms of mortality, hospital readmissions and adverse events in the follow-up of a multipurpose day care hospital model focused in patients with internal medicine diseases in Medellín.

Design and methods: A retrospective descriptive study of secondary sources, from the medical records registry of 3419 patients seen in an “Early discharge program” between June 2014 and May 2016 in Medellin city, patients were coming from hospitalization rooms of internal medicine and emergency departments of second and third level of complexity attention, and outpatient services. Univariate analyzes were performed through proportions and rates to determine mortality, hospital readmissions, and adverse events in the statistical package epidat version 4.1.

Results: The average age was 62.6 years (ds 18.3). 66% were women. The most common diseases were chronic obstructive pulmonary disease (16%), Diabetes mellitus (11.3%), cardiac failure (11%). The rate of readmissions was 2.6% for the same diagnosis as admission to the program, the adverse event rate was 0.66 % and a mortality rate of 0.87 %.

Conclusions: This retrospective analysis of the day care hospital model, it’s the only one reported so far in Latin American literature, allows us to demonstrate its safety and clinical efficacy in the care of adult patients.

 

DOI: http://dx.doi.org/10.21615/cesmedicina.32.2.4

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Biografía del autor/a

Juan Camilo Diaz Coronado, Universidad CES Artmedica

Departamento de medicina interna

medico internista

coordinador medicina interna artmedica

coodinador medicina interna universidad CES

Daniel Efrén Rodríguez Ariza, Universidad CES

Departamento de medicina interna

medico internista

Docente medicina interna universidad CES

Mauricio Andrés Quintero Betancur, universidad CES

Departamento de medicina interna

medico internista

Docente medicina interna universidad CES

María Camila Soto Osorio, universidad CES

Medico general

Docente universidad CES

Ricardo Antonio Pineda Tamayo, Artmedica

Medico reumatólogo

Gerente Artemedica

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Publicado

21-05-2018

Cómo citar

Diaz Coronado, J. C., Rodríguez Ariza, D. E., Quintero Betancur, M. A., Soto Osorio, M. C., & Pineda Tamayo, R. A. (2018). Follow up to a multipurpose hospital day care model in Medellin city. CES Medicina, 32(2), 107–115. https://doi.org/10.21615/cesmedicina.32.2.4

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