Abstract
Objective: To evaluate the quality of care transition for patients with chronic diseases and to verify its association with hospital readmission within 30 days after discharge. Method: Cross-sectional epidemiological study of 210 patients with chronic diseases discharged from a hospital in southern Brazil. The Care Transition Measure-15 (CTM-15) instrument was used, through a telephone contact and, in order to identify readmissions within 30 days, the hospital management system was consulted. Student’s t-tests analysis of variance and nonparametric Pearson or Spearman correlation tests were performed. Results: CTM-15 score was 74.7 (± 17.1). No significant association was found between the quality of care transition and hospital readmission. 12.3 % of the patients were readmitted, and 46.2 % of these readmissions were to the emergency service. Conclusions: The quality of the care transition for chronic patients from inpatient units to home, showed a satisfactory score. However, there was no association between the quality of care transition and hospital readmission within 30 days after discharge.
Highlights
O período após a alta hospitalar é um momento de desafios para pacientes e familiares [1], pois encontram dificuldades na realização das atividades diárias e dúvidas quanto ao gerenciamento do autocuidado [2]
Embora a readmissão seja um indicador importante para a avaliação da transição do cuidado durante o processo de alta hospitalar, entende-se que outros aspectos podem influenciar no retorno do paciente ao hospital, como gravidade e complexidade das condições de saúde, fatores institucionais e coordenação do cuidado na rede de atenção à saúde
Summary
O período após a alta hospitalar é um momento de desafios para pacientes e familiares [1], pois encontram dificuldades na realização das atividades diárias e dúvidas quanto ao gerenciamento do autocuidado [2]. Associação e correlação dos escores total e por fator do CTM 15-Brasil com a readmissão em até 30 dias após a alta.
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