National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741 |
Resumo: | Introduction: The National Post Hospital Care Project was created to provide a continuity of care after hospitalization or to functionally dependent people. Currently there is a great difficulty in the integration of patients. The objective of this paper is to compare the impact of the referral to the Project versus being discharged home, in the length of stay of stroke patients between 2010 and 2011.Material and Methods: Retrospective study of patients admitted to the Neurology Infirmary A and Stroke Unit of Coimbra’s University Hospital, in 2010 and 2011. The cases analyzed were 1 209, featuring demographic data, length of stay, Rankin Score (mRS) and destination after discharge. The data was analyzed comparing the two years concerning the length of stay of stroke patients referred to the Project and those discharged home, given the their Rankin Score.Results: In 2011, the number patients referred to the National Post Hospital Care Project was higher, 23.5% compared to 21.4%. The length of stay for the same Rankin Score of the patients referred to National Post Hospital Care Project, remained higher than those discharged home: for a Rankin Score of 1: 11, versus 26 days for the Project; Rankin Score 2: 13, versus 29 days for the project; Rankin Score 3: 13, versus 23 days for the Project; Rankin Score 4: 17, to 33 days for the Project, Rankin Score 5: 27, versus 39 days to the Project. After comparison between the length of stay of patient discharged of and those referred to the National Post Hospital Care Project, it was estimated that the referral represented an hospitalization excess of 1 718 days in 2010 and 1 198 days in 2011.Conclusion: The National Post Hospital Care Project is unable to meet the actual needs although the waiting time has reduced, possibly due to the increased number of beds and the possibility of patients waiting at home. |
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National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011Rede Nacional de Cuidados Continuados e Tempo de Internamento dos Doentes com Acidente Vascular Cerebral 2010-2011Introduction: The National Post Hospital Care Project was created to provide a continuity of care after hospitalization or to functionally dependent people. Currently there is a great difficulty in the integration of patients. The objective of this paper is to compare the impact of the referral to the Project versus being discharged home, in the length of stay of stroke patients between 2010 and 2011.Material and Methods: Retrospective study of patients admitted to the Neurology Infirmary A and Stroke Unit of Coimbra’s University Hospital, in 2010 and 2011. The cases analyzed were 1 209, featuring demographic data, length of stay, Rankin Score (mRS) and destination after discharge. The data was analyzed comparing the two years concerning the length of stay of stroke patients referred to the Project and those discharged home, given the their Rankin Score.Results: In 2011, the number patients referred to the National Post Hospital Care Project was higher, 23.5% compared to 21.4%. The length of stay for the same Rankin Score of the patients referred to National Post Hospital Care Project, remained higher than those discharged home: for a Rankin Score of 1: 11, versus 26 days for the Project; Rankin Score 2: 13, versus 29 days for the project; Rankin Score 3: 13, versus 23 days for the Project; Rankin Score 4: 17, to 33 days for the Project, Rankin Score 5: 27, versus 39 days to the Project. After comparison between the length of stay of patient discharged of and those referred to the National Post Hospital Care Project, it was estimated that the referral represented an hospitalization excess of 1 718 days in 2010 and 1 198 days in 2011.Conclusion: The National Post Hospital Care Project is unable to meet the actual needs although the waiting time has reduced, possibly due to the increased number of beds and the possibility of patients waiting at home.Introdução: A Rede Nacional de Cuidados Continuados Integrados surgiu para proporcionar a continuação de cuidados após internamento ou para pessoas funcionalmente dependentes. Actualmente há uma grande dificuldade na integração dos doentes no domicílio ou em estruturas de retaguarda. Pretende-se comparar o impacto da referenciação para a Rede Nacional de Cuidados Continuados Integrados versus alta para domicílio, no tempo de internamento dos doentes com Acidente Vascular Cerebral, entre 2010 e 2011.Material e Métodos: Estudo retrospectivo envolvendo os doentes internados na Neurologia A e Unidade de Acidente Vascular Cerebral dos Hospitais da Universidade de Coimbra, naquele anos. Analisaram-se 1 209 processos, incluídos 819, caracterizados demograficamente, tempo de internamento, Score de Rankin modificado e destino pós-alta. Compararam-se os dados, relativamente ao tempo de internamento dos doentes com Acidente Vascular Cerebral, referenciados para a Rede Nacional de Cuidados Continuados Integrados e os com alta para domicílio, atendendo ao Score de Rankin final.Resultados: Em 2011, aumentaram os doentes referenciados para a Rede Nacional de Cuidados Continuados Integrados, 23,5% comparativamente 21,4%. Em 2011 o tempo de internamento, para um mesmo Score de Rankin, da população referenciada manteve-se superior: para um Rankin de 1: 11 dias para domicílio, 26 dias para os doentes referenciados; para um Rankin de 2: 13 dias para domicílio, 29 dias para a rede; para Rankin de 3: 13 dias para domicílio, 23 dias para referenciados; para um Rankin de 4: 17 dias para domicílio, 33 dias para Rede; e para um Rankin de 5: 27 dias para domicílio, 39 dias para Rede. Comparando com os tempos de internamento da população com alta para domicílio, estima-se que tenha representado mais 1 718 dias de internamento, em 2010 e1 198 dias, em 2011.Conclusão: A Rede Nacional de Cuidados Continuados Integrados é incapaz de responder às necessidades actuais, embora o tempo de espera tenha reduzido, devido ao aumento do número de camas e da possibilidade dos doentes aguardarem vaga no domicílio.Ordem dos Médicos2013-12-20info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741oai:ojs.www.actamedicaportuguesa.com:article/1741Acta Médica Portuguesa; Vol. 26 No. 6 (2013): November-December; 683-688Acta Médica Portuguesa; Vol. 26 N.º 6 (2013): Novembro-Dezembro; 683-6881646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/3809https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/3910https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/6847Canha, CatarinaMassano, AnaEsperto, HélderRato, JoanaFerreira, TeresaGeraldo, Argemiroinfo:eu-repo/semantics/openAccess2022-12-20T10:58:48Zoai:ojs.www.actamedicaportuguesa.com:article/1741Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:17:21.545520Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 Rede Nacional de Cuidados Continuados e Tempo de Internamento dos Doentes com Acidente Vascular Cerebral 2010-2011 |
title |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
spellingShingle |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 Canha, Catarina |
title_short |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
title_full |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
title_fullStr |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
title_full_unstemmed |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
title_sort |
National Post Hospital Care Project and Length of Hospitalization of Patients with Stroke 2010 - 2011 |
author |
Canha, Catarina |
author_facet |
Canha, Catarina Massano, Ana Esperto, Hélder Rato, Joana Ferreira, Teresa Geraldo, Argemiro |
author_role |
author |
author2 |
Massano, Ana Esperto, Hélder Rato, Joana Ferreira, Teresa Geraldo, Argemiro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Canha, Catarina Massano, Ana Esperto, Hélder Rato, Joana Ferreira, Teresa Geraldo, Argemiro |
description |
Introduction: The National Post Hospital Care Project was created to provide a continuity of care after hospitalization or to functionally dependent people. Currently there is a great difficulty in the integration of patients. The objective of this paper is to compare the impact of the referral to the Project versus being discharged home, in the length of stay of stroke patients between 2010 and 2011.Material and Methods: Retrospective study of patients admitted to the Neurology Infirmary A and Stroke Unit of Coimbra’s University Hospital, in 2010 and 2011. The cases analyzed were 1 209, featuring demographic data, length of stay, Rankin Score (mRS) and destination after discharge. The data was analyzed comparing the two years concerning the length of stay of stroke patients referred to the Project and those discharged home, given the their Rankin Score.Results: In 2011, the number patients referred to the National Post Hospital Care Project was higher, 23.5% compared to 21.4%. The length of stay for the same Rankin Score of the patients referred to National Post Hospital Care Project, remained higher than those discharged home: for a Rankin Score of 1: 11, versus 26 days for the Project; Rankin Score 2: 13, versus 29 days for the project; Rankin Score 3: 13, versus 23 days for the Project; Rankin Score 4: 17, to 33 days for the Project, Rankin Score 5: 27, versus 39 days to the Project. After comparison between the length of stay of patient discharged of and those referred to the National Post Hospital Care Project, it was estimated that the referral represented an hospitalization excess of 1 718 days in 2010 and 1 198 days in 2011.Conclusion: The National Post Hospital Care Project is unable to meet the actual needs although the waiting time has reduced, possibly due to the increased number of beds and the possibility of patients waiting at home. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12-20 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741 oai:ojs.www.actamedicaportuguesa.com:article/1741 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1741 |
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por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/3809 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/3910 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1741/6847 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 26 No. 6 (2013): November-December; 683-688 Acta Médica Portuguesa; Vol. 26 N.º 6 (2013): Novembro-Dezembro; 683-688 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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