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Fatores de Risco para Alta Prorrogada por Motivos Sociais: Um Estudo Retrospectivo

2023Journal article Open access
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dc.contributor.authorMartins, M
dc.contributor.authorMesquita, A
dc.contributor.authorCarvalho, L
dc.contributor.authorMartins, F
dc.contributor.authorSilva, M
dc.contributor.authorLeitão, H
dc.contributor.authorNunes, M
dc.date.accessioned2023-09-14T10:22:16Z
dc.date.available2023-09-14T10:22:16Z
dc.date.issued2023
dc.description.abstractIntroduction: The hospital setting faces a rate of bed occupation by patients whose discharge is limited by other factors apart from clinical needs. This urges the need for an early identification of the patients at risk of delayed discharge due to social factors in order to reduce expenses and to add value that converts itself into the patient health. The aim of this study was to identify the demographic and clinical factors that may be associated with delayed discharge. Material and methods: Demographic and clinical comorbidity data on 582 patients of an internal medicine ward from a tertiary hospital center during the years 2018 and 2019 was analyzed. A binomial logistic regression model was used, adjusted for sex, age, and length of clinical stay, in order to identify potential risk factors associated with delayed discharge. Results: A total of 473 patients admitted in the internal medicine ward throughout the two years of study were included. Ninety-four (19%) of these patients had their discharge delayed beyond their clinical needs; sixty-four (68%) of these were females. The most representative age was between 75 - 89 years old (45.7%). The characteristics that significantly differed between both non-delayed and delayed discharge were female sex (OR 2.84, 95% CI 1.65 - 4.90, p-value < 0.05), prolonged clinical stay (OR 2.64, 95% CI 1.60 - 4.937, p-value < 0.05) and diabetes mellitus (OR 1.87, 95% CI 1.08 - 3.23, p-value < 0.05). Besides these, the presence of heart failure (OR 0.52, 95% CI 0.27 - 0.99, p-value < 0.05) and chronic kidney disease (OR 0.34, 95% CI 0.14 - 0.86, p-value < 0.05) were associated with a lower risk of delayed discharge. Conclusion: Female sex, a prolonged clinical stay and diabetes mellitus were associated with a higher risk of delayed discharge, while heart failure and chronic kidney disease were associated with a reduced risk. These findings create a basis for a possible future multicentre study aimed at creating a clinical prediction rule to stratify the risk of delayed hospital discharge in the Portuguese population.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationActa Med Port . 2023 Sep 1;36(9):550-558pt_PT
dc.identifier.doi10.20344/amp.18888pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4697
dc.language.isoporpt_PT
dc.peerreviewedyespt_PT
dc.publisherCentro Editor Livreiro da Ordem dos Médicospt_PT
dc.subjectAgedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectDiabetes Mellitus* / epidemiologypt_PT
dc.subjectFemalept_PT
dc.subjectHeart Failure* / epidemiologypt_PT
dc.subjectLength of Staypt_PT
dc.subjectMalept_PT
dc.subjectPatient Dischargept_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectRisk Factorspt_PT
dc.subjectSocial Factorspt_PT
dc.subjectHSAC MEDpt_PT
dc.titleFatores de Risco para Alta Prorrogada por Motivos Sociais: Um Estudo Retrospectivopt_PT
dc.title.alternativeRisk Factors for Delayed Discharge Due to Social Factors: A Retrospective Studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage558pt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage550pt_PT
oaire.citation.titleActa Médica Portuguesapt_PT
oaire.citation.volume36pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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