Matorras Galán P, Alonso López F, Daroca Pérez R, Díaz-Caneja Rodríguez N, Ledesma Castaño F, Gancedo González Z
Servicio de Medicina Interna, Hospital Nacional Marqués de Valdecilla.
An Med Interna. 1990 Jul;7(7):353-7.
A considerable number of patients treated in hospitals register several readmissions, this being special cause for concern, not only from a clinical point of view but also in respect of the management of resources. This article analysed the clinical, epidemiological and resources variable associated with patients classified as "multiadmitted". The aim of the study is determine the possible factors which predispose the multiadmission. Multiadmitted patients are defined as those who are admitted twice in a period of 12 months or those admitted 3 times in 5 years. The type of the study carried out involved control cases. We selected 1099 admissions during a period of a year at an internal medicine department of a third-level hospital. Among the various results, we would highlight the fact that 34% of the patients were multiadmitted. The main characteristics were: mean age of 8 years older than the others, patients afflicted with chronic diseases of high prevalence (most of them of the respiratory, cardiovascular, gastrointestinal or endocrine systems). The most frequent diseases were COLD (Chronic Obstructive Lung Disease), cardiomyopathies, and chronic liver disease).
相当数量在医院接受治疗的患者出现多次再入院情况，这不仅从临床角度，而且在资源管理方面都特别令人担忧。本文分析了与被归类为“多次入院”患者相关的临床、流行病学和资源变量。该研究的目的是确定导致多次入院的可能因素。多次入院患者被定义为在12个月内入院两次的患者或在5年内入院3次的患者。所开展的研究类型包括对照病例。我们在一家三级医院的内科选取了一年期间的1099例入院病例。在各项结果中，我们要强调的事实是34%的患者出现多次入院。主要特征为：平均年龄比其他患者大8岁，患有高患病率的慢性疾病（其中大多数是呼吸系统、心血管系统、胃肠道或内分泌系统疾病）。最常见的疾病是慢性阻塞性肺疾病（COLD）、心肌病和慢性肝病。
