RT info:eu-repo/semantics/article
T1 Tasa de retorno y características asistenciales de pacientes mayores de 65 años en un servicio de Urgencias en Atención Primaria
A1 Fernández Martínez, María Nélida
A1 Alaiz Moretón, Héctor
A1 Sánchez Valdeón, Leticia
A1 Benítez Andrades, José Alberto
A1 Dehesa Fontecilla, Marta Alfonsa
A2 Enfermeria
K1 Enfermería
K1 Elderly patients
K1 Assistance quality
K1 Primary Care Emergency Service
K1 Emergencies
AB [EN] Objective: To determine the unexpected return rate to the Primary Care Emergency Service of elderly patients over 65 years old within the following 72 h of a previous visit, as well as to determine the clinical and assistance requirements of these patients. Procedure: Retrospective and observational epidemiologic study. Location: Cotolino's Primary Care Emergency Service in Cantabria, Spain. Participants: 1940 elderly patients over 65 years old were included. These patients returned to the Primary Care Emergency Service in 2016. Main data for the study: The dependent variable was the return rate to the Primary Care Emergency Service. The independent variables were socio-demographic characteristics, health details and medical assistance information. All data was collected from the Primary Care Emergency Service Management Office database. All variables were analysed applying Pearson's chi-squared test and Fisher's exact test, with statistical significance P≤.05. Results: The rate of unexpected return was 2.3%. The average age was 77.4 years old (standard deviation (SD): 8.4), of which the 37.6% were male. The most frequent range of age was from 75 to 84 years old, with males being the predominant group. A history of polymedication was detected in 54.4% of the cases, as well as a medium cardiovascular risk within this group. Nursing professionals attended the 42.2% of these return cases (P<.001). Patients with dysnea (P=.015), scheduled care or scheduled injection returned with a higher frequency (P<.001). It was as well noticed a higher frequency of return for subsequent attention during the months of December and January (P<.001). Conclusions: The rate of unexpected return is low. The main causes why elderly patients returned to the service requiring urgent assistance were issues categorised as unspecific general health indicators and/or respiratory system illnesses. Our proposal is to develop specific protocols combining the work from both Geriatrics and Gerontology professionals, in order to improve the support to this group of population at every Primary Care Emergency Service.
PB Elsevier
SN 0212-6567
LK https://hdl.handle.net/10612/18617
UL https://hdl.handle.net/10612/18617
NO Fernández Martínez, M. N.; Alaiz Moretón, H.; Sánchez Valdeón, L.; Benítez Andrades, J. A.; Dehesa Fontecilla, M. A. (2021). Tasa de retorno y características asistenciales de pacientes mayores de 65 años en un servicio de Urgencias en Atención Primaria. Atención Primaria, 53, 10
DS BULERIA. Repositorio Institucional de la Universidad de León
RD 03-jun-2024