Análisis de los ingresos por enfermedad pulmonar obstructiva crónica en Andalucía, año 2000
Analysis of admissions for chronic obstructive pulmonary disease in Andalusia in 2000
J.L. López-Campos Bodineau
, J. Fernández Guerra, L. Moreno, J.J. Cebrián Gallardo, J.M. García Jiménez
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"apellidos" => "López-Campos Bodineau" "email" => array:1 [ 0 => "lcampos@hcs.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Fernández Guerra" ] 2 => array:2 [ "nombre" => "L." "apellidos" => "Moreno" ] 3 => array:2 [ "nombre" => "J.J." "apellidos" => "Cebrián Gallardo" ] 4 => array:2 [ "nombre" => "J.M." "apellidos" => "García Jiménez" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Avda. Reina Mercedes, 35, 6° D. 41012 Sevilla" ] ] ] 1 => array:3 [ "autoresLista" => "A. Lara Blanquer, E. Perea-Milla López" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Lara Blanquer" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Perea-Milla López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Unidad de Neumología. Unidad de Documentación Clínica. Hospital Costa del Sol. Marbella. Málaga" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Unidad de Neumología. Unidad de Investigación y Docencia. Hospital Costa del Sol. Marbella. Málaga" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Analysis of admissions for chronic obstructive pulmonary disease in Andalusia in 2000" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2001-03-18" "fechaAceptado" => "2002-06-18" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190662" "palabras" => array:3 [ 0 => "Enfermedad pulmonar obstructiva crónica" 1 => "Epidemiología" 2 => "Costes" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190661" "palabras" => array:3 [ 0 => "Chronic obstructive pulmonary disease" 1 => "Epidemiology" 2 => "Cost" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar el impacto que han tenido los ingresos por enfermedad pulmonar obstructiva crónica (EPOC) en Andalucía durante el año 2000</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron del Conjunto Mínimo Básico de Datos de Andalucía 2000 todos los pacientes con el código GRD 088 y aquellos con GRD 541 que tuvieran como causa de ingreso algunos de estos códigos CIE-9: 491, 492, 493.2, 494 y 496. Con estos datos se realizó un estudio descriptivo. Posteriormente, se realizó el cálculo del coste de una estan-cia en nuestro centro y se extrapoló al resto de Andalucía, calculando el coste mínimo generado</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Durante el año 2000 hubo 10.386 ingresos por reagudización de EPOC, lo que generó 117.011 estan-cias. El 83% de los ingresos fueron varones. La edad media fue de 70 ± 12 años. La estancia media fue de 11 ± 10 días. La provincia con la estancia menor fue Huelva con 9 días. La mortalidad fue del 6,7%. El gasto sanitario mínimo ge-nerado fue de 27 millones de euros (4.500 millones de pesetas), sin contar con las estancias de UCI</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los ingresos por EPOC generan un gran impacto asistencial y económico en la sanidad andaluza. Son necesarios estudios que valoren otras alternativas al ingreso</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the impact of admissions for chronic obstructive pulmonary disease (COPD) in Andalusia during 2000</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">All patients with DRG codes 088 and 541, which would receive ICD-9 codes 491, 492, 493.2, 494 and 496 in the cause of admission field, were extracted from the Minimum Basic Data Set for Andalusia. We compiled descriptive statistics from these data, calculated the cost per day of hospitalization for our own hospital, and then extrapolated to estimate the cost for Andalusia</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">COPD exacerbations generated 10,386 admissions in 2000, leading to 117,011 days of hospitalization. Eighty-three percent of the patients were men and the mean age was 70 ± 12 years. The average hospital stay was 11 ± 10 days. Huelva was the province with the shortest hospital stay (9 days). Mortality was 6.7%. The minimum expenditure generated was z.euro; 27 million, not counting the cost of intensive care unit admissions</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Admissions due to COPD have great impact on the Andalusian health care system. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 2 | 4 |
| 2024 October | 38 | 15 | 53 |
| 2024 September | 48 | 16 | 64 |
| 2024 August | 60 | 42 | 102 |
| 2024 July | 49 | 32 | 81 |
| 2024 June | 46 | 22 | 68 |
| 2024 May | 45 | 26 | 71 |
| 2024 April | 22 | 15 | 37 |
| 2024 March | 37 | 28 | 65 |
| 2024 February | 33 | 33 | 66 |
| 2024 January | 0 | 1 | 1 |
| 2023 December | 0 | 2 | 2 |
| 2023 November | 0 | 1 | 1 |
| 2023 October | 0 | 10 | 10 |
| 2023 September | 0 | 8 | 8 |
| 2023 July | 0 | 5 | 5 |
| 2023 June | 0 | 17 | 17 |
| 2023 April | 0 | 1 | 1 |
| 2023 March | 4 | 7 | 11 |
| 2023 February | 26 | 12 | 38 |
| 2023 January | 24 | 22 | 46 |
| 2022 December | 41 | 25 | 66 |
| 2022 November | 38 | 18 | 56 |
| 2022 October | 25 | 50 | 75 |
| 2022 September | 31 | 31 | 62 |
| 2022 August | 39 | 44 | 83 |
| 2022 July | 23 | 29 | 52 |
| 2022 June | 27 | 33 | 60 |
| 2022 May | 39 | 22 | 61 |
| 2022 April | 27 | 24 | 51 |
| 2022 March | 41 | 35 | 76 |
| 2022 February | 33 | 24 | 57 |
| 2022 January | 34 | 26 | 60 |
| 2021 December | 22 | 37 | 59 |
| 2021 November | 18 | 38 | 56 |
| 2021 October | 39 | 36 | 75 |
| 2021 September | 42 | 34 | 76 |
| 2021 August | 42 | 43 | 85 |
| 2021 July | 29 | 27 | 56 |
| 2021 June | 17 | 34 | 51 |
| 2021 May | 26 | 26 | 52 |
| 2021 April | 38 | 57 | 95 |
| 2021 March | 45 | 17 | 62 |
| 2021 February | 32 | 12 | 44 |
| 2021 January | 25 | 16 | 41 |
| 2020 December | 21 | 11 | 32 |
| 2020 November | 29 | 15 | 44 |
| 2020 October | 27 | 18 | 45 |
| 2020 September | 31 | 19 | 50 |
| 2020 August | 27 | 9 | 36 |
| 2020 July | 42 | 18 | 60 |
| 2020 June | 24 | 11 | 35 |
| 2020 May | 38 | 12 | 50 |
| 2020 April | 35 | 10 | 45 |
| 2020 March | 35 | 14 | 49 |
| 2020 February | 33 | 17 | 50 |
| 2020 January | 48 | 22 | 70 |
| 2019 December | 17 | 12 | 29 |
| 2019 November | 21 | 15 | 36 |
| 2019 October | 13 | 8 | 21 |
| 2019 September | 20 | 15 | 35 |
| 2019 August | 15 | 3 | 18 |
| 2019 July | 15 | 34 | 49 |
| 2019 June | 21 | 15 | 36 |
| 2019 May | 27 | 22 | 49 |
| 2019 April | 17 | 17 | 34 |
| 2019 March | 18 | 11 | 29 |
| 2019 February | 17 | 12 | 29 |
| 2019 January | 7 | 9 | 16 |
| 2018 December | 16 | 15 | 31 |
| 2018 November | 31 | 17 | 48 |
| 2018 October | 36 | 12 | 48 |
| 2018 September | 24 | 7 | 31 |
| 2018 May | 7 | 1 | 8 |
| 2018 April | 8 | 3 | 11 |
| 2018 March | 14 | 6 | 20 |
| 2018 February | 11 | 10 | 21 |
| 2018 January | 8 | 7 | 15 |
| 2017 December | 7 | 9 | 16 |
| 2017 November | 7 | 10 | 17 |
| 2017 October | 12 | 10 | 22 |
| 2017 September | 12 | 7 | 19 |
| 2017 August | 12 | 14 | 26 |
| 2017 July | 12 | 13 | 25 |
| 2017 June | 21 | 36 | 57 |
| 2017 May | 9 | 12 | 21 |
| 2017 April | 13 | 5 | 18 |
| 2017 March | 9 | 24 | 33 |
| 2017 February | 3 | 6 | 9 |
| 2017 January | 9 | 9 | 18 |
| 2016 December | 21 | 11 | 32 |
| 2016 November | 34 | 17 | 51 |
| 2016 October | 26 | 24 | 50 |
| 2016 September | 28 | 21 | 49 |
| 2016 August | 19 | 8 | 27 |
| 2016 July | 25 | 7 | 32 |
| 2016 June | 28 | 13 | 41 |
| 2016 May | 19 | 3 | 22 |
| 2016 April | 16 | 1 | 17 |
| 2016 March | 20 | 2 | 22 |
| 2016 February | 25 | 4 | 29 |
| 2016 January | 31 | 14 | 45 |
| 2015 December | 37 | 10 | 47 |
| 2015 November | 36 | 10 | 46 |
| 2015 October | 84 | 1 | 85 |
| 2015 September | 59 | 0 | 59 |
| 2015 August | 69 | 0 | 69 |
| 2015 July | 34 | 0 | 34 |
| 2015 June | 53 | 0 | 53 |
| 2015 May | 76 | 0 | 76 |
| 2015 April | 47 | 0 | 47 |
| 2015 March | 55 | 0 | 55 |
| 2015 February | 31 | 0 | 31 |
| 2015 January | 39 | 0 | 39 |
| 2014 December | 31 | 0 | 31 |
| 2014 November | 48 | 0 | 48 |
| 2014 October | 44 | 0 | 44 |
| 2014 September | 35 | 0 | 35 |
| 2014 August | 37 | 0 | 37 |
| 2014 July | 30 | 0 | 30 |
| 2014 June | 41 | 0 | 41 |
| 2014 May | 40 | 0 | 40 |
| 2014 April | 49 | 0 | 49 |
| 2014 March | 55 | 0 | 55 |
| 2014 February | 47 | 0 | 47 |
| 2014 January | 36 | 0 | 36 |
| 2013 December | 42 | 0 | 42 |
| 2013 November | 40 | 0 | 40 |
| 2013 October | 40 | 0 | 40 |
| 2013 September | 45 | 0 | 45 |
| 2013 August | 63 | 0 | 63 |
| 2013 July | 55 | 0 | 55 |
| 2013 June | 28 | 0 | 28 |
| 2013 May | 28 | 0 | 28 |
| 2013 April | 22 | 0 | 22 |
| 2013 March | 11 | 0 | 11 |
| 2000 January | 2055 | 0 | 2055 |
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