Internación prolongada en un servicio de clínica Médica

Abstract

In orcler to idenhify detcrmining factors and complicatioris ¡ti illness, we evaluatccl patients under long period hospitalization, in a Clinical Service. Methocls: retrospective and descriptive stud les. Figures were evaluated by Chi, Fisher T and Test T, thrue variables. Wc cal[ long penad hospitalizatíon to a staying of 10 days or longer. Results: 322 patients were evaluated. 50(15,5%) presented (LS) and 272 < 10 days staying. Age average vas 63,8 for < 10 days and 66 for (LS). Mostly of diagnosis at adniission for < 10 days were respiratory dysfunction (25 %) including pneumonia (10 %), urinary infection and heart failure, and for LS pneumonia 20 %, acute neut- ological disease 18 %. The 46 % of LS requireci surgery va. 20,6 % (p < 1,01). The LS neecled parenteral nutrition 26 % vs. 2,5 % (p < 0,02). The average of inaxinuin aniount of drugs/day in staying was: 5.8 for < 10 days and 8.76 for LS (p < 0.01). Hospital coinplications in LS were 28 % VS. 11 % (p < 0.01). mainly nosocoinial pneumonia (p < 0,01) and endovascular infections (p <0.01). Staying in ICU was 54 % for LS va. 19 % (p < 0.01), and average of days in intensive care unit (ICU) vas 8 in LS vs. 3 (p <0,01). There wasn't any difference ¡ti inortality. Conclusion: the admlssi on's diagnosis and the ICU's staying were the main causes of LS, but not so age and co-morbilities studied. The LS patients require more compiex and expensive staying. They present more hospital complications