Derivación directa de urgencias a hospitalización a domicilio en descompensación aguda de insuficiencia cardiaca crónica

  1. José Regalado De Los Cobos 1
  2. Miriam Delgado Vicente 1
  3. Jose Medrano Laporte 1
  4. Montserrat Gómez Rodríguez de Mendarozqueta 1
  5. Esther Oceja Barrutieta 1
  6. María De Juan Rodríguez 1
  1. 1 Servicio de Hospitalización a Domicilio de Vitoria-Gasteiz, España.
Revista:
Hospital a Domicilio

ISSN: 2530-5115

Año de publicación: 2019

Volumen: 3

Número: 3

Páginas: 193-201

Tipo: Artículo

DOI: 10.22585/HOSPDOMIC.V3I3.75 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Hospital a Domicilio

Objetivos de desarrollo sostenible

Resumen

Aim: To assess the clinical severity of an historical series of patients directly sent from the Emergency Room to Hospital at Home for treatment of Acutely Decompensated Chronic Heart Failure (ADCHF) and how it influences the clinical result. Methods: Retrospective analysis of patients referred directly from the Emergency Department to Hospital at Home from 2006 to 2016. The number of admissions due to ADCHF during the year before and the score at the EFFECT predictive scale at presentation were recorded and their influence in the need to return to hospital was assessed. Results: 214 cases were evaluated, 16.8% of them needed to return to hospital. Using the EFFECT score and the number of previous admissions the patients could be divided into two groups with low ( 9.1%) and high (29.6%) return to hospital rates (R.R. = 3.26; C.I. = 1.73-6.15). Conclusions: Patients with acutely decompensated chronic heart failure referred directly from the Emergency Department can be effectively treated in Hospital at Home. The score at the EFFECT predictive tool and the number of previous admissions are useful to estimate the risk of sending the patient back to hospital and therefore can be used at the Emergency Room as a help to select patients for H a H.

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Fuente de los datos: Dialnet