Multimorbilidad en los servicios médicos hospitalarios: un problema clínico y de gestión
- Matesanz Fernández, María
- Íñiguez Vázquez, Iria
- Rubal Bran, David
- Pértega Díaz, Sonia
- Conde Freire, Jesús
- Casariego Vales, Emilio
- Montes Santiago, Julio (coord.)
- Casariego Vales, Emilio (coord.)
ISSN: 0304-4866, 1989-3922
Year of publication: 2012
Issue Title: La atención al paciente crónico y pluripatologico. El caso de Galicia
Volume: 73
Issue: 1
Pages: 15-19
Type: Article
More publications in: Galicia Clínica
Abstract
INTRODUCTION: Multimorbidity, a very frequent and with a big sociosanitary repercussion, is a little studied situation. PATIENTS AND METHODS: A study of totality of adults hospital discharges in medical services between 2000 and 2009 was conducted. The study variables were obtained from hospital records. New variables were created with integration of other medical records and after derivation from the original variables. A descriptive statistical analysis was conducted. RESULTS: In 10 years-study and 12 adults hospital medical services, 111.123 discharges in 52269 patients (male 55,9%, mean age 68,6 � SD 17,2- , accumulated mortality 26,5%) were registered. 51,2% of patients had at least one of following: coronary ischemic disease (12,4 %), heart failure (15,2%), dementia (9,8 %), cancer (18,1 %) y COPD (16,4 %). Totally, 8597 had at least two of them, generating 30598 discharges, 2818 in-hospital deaths and mean length stay 12,4 (SD 7,1) days. The most frequent association was PD/heart failure (1355 patients, 5330 admissions) and the least all together association (18 patients, 125 admissions). CONCLUSSION: Multimorbidity is a clinical challenge and a management problem. Our study identifies groups of patients with a great repercussion over hospital activity. It�s possible to establish programs to improve quality life and reducing their in-hospital admissions.