Association Between Diagnosis, Clinical Outcome And Hospitalization Time Of The Elderly In A University Hospital

MUNDO DA SAUDE(2019)

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摘要
Clinical outcomes of hospitalized elderly provide subsidies to prevent complications that interfere with quality of life. The goal was to verify the sociodemographic characteristics and to analyze the associations between the diseases diagnosed at admission, age, hospitalization time and clinical outcome of elderly hospitalized in SUS and private care. Descriptive and quantitative cross-sectional survey of 14,892 medical records of elderly patients hospitalized in the year 2014. The statistical tests used were chi-squared and analysis of variance. The results were: 93.5% white, 80.2% catholic, 68% had a primary education, 62.9% had partners, 53.8% males, 33.1% homemakers and the average age was 72.1 years +/- 8.6 years. The mean duration of hospitalization was 5.9 days +/- 8.8 days, cardiovascular diseases were the most frequent, with a clinical outcome of 93.4% of hospital discharges and 6.6% of deaths, and 100% of hematological diseases were discharged. There was a significant association rate between diseases and death from infections (n=817; 60.0%). The association of diseases with the type of SUS care was statistically significant. Moreover, the occurrence of pain, nephro-urological diseases, orthopedic diseases, hematological and gynecological diseases and other diseases showed a statistically significant association with private care or health plan. The association between the diseases and the clinical outcome showed a greater incidence of death in patients affected by infections. The association of diseases was statistically significant with the type of care, highlighting the SUS care.
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关键词
Elderly, Clinical Evolution, Hospitalization, Nursing
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