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Short-Stay Respiratory Unit: A New Option for Inpatient Care
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array:1 [ 0 => array:2 [ "paginaInicial" => "252" "paginaFinal" => "256" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Joan Maria Broquetas, Roser Pedreny, Juana María Martínez-Llorens, Jacobo Sellarés, Joaquim Gea" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Joan Maria" "apellidos" => "Broquetas" "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 1 => array:3 [ "nombre" => "Roser" "apellidos" => "Pedreny" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Juana María" "apellidos" => "Martínez-Llorens" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Jacobo" "apellidos" => "Sellarés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:4 [ "nombre" => "Joaquim" "apellidos" => "Gea" "email" => array:1 [ 0 => "jgea@imim.es" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital del Mar-IMIM, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Universitat Autònoma de Barcelona, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "CIBER de Enfermedades Respiratorias, ISCiii, Ministerio de Sanidad, Spain. Universitat Pomeu-Fabra, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr J. Gea Servei de Pneumologia, Hospital del Mar Pg. Marítim, 25 08003 Barcelona, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-02-26" "fechaAceptado" => "2007-12-05" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155242" "palabras" => array:6 [ 0 => "Hospitalization" 1 => "Mean stay" 2 => "Readmissions" 3 => "COPD" 4 => "Asthma" 5 => "Specialization" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155243" "palabras" => array:6 [ 0 => "Hospitalización" 1 => "Estancia media" 2 => "Reingresos" 3 => "EPOC" 4 => "Asma" 5 => "Especialización" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The current pressure on conventional inpatient care units represents a very serious problem for respiratory medicine departments. The aim of this study was to analyze the impact of a new instrumenta short-stay respiratory uniton the quality of care delivered by the respiratory medicine department of a tertiary care hospital.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The short-stay respiratory unit consisted of 4 conventional hospital beds managed by a pulmonologist. The beds were only used to treat patients diagnosed with exacerbation of chronic obstructive pulmonary disease or bronchial asthma, community-acquired pneumonia, or suspected lung cancer, and stays were intended to only last for less than 4 days. Analyzing a range of healthcare quality variables, we compared the quality of care delivered during the first 6 months the unit was in operation (October 2005 to March 2006) to that delivered in the same period 12 months earlier.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The study included 147 patients admitted to the short-stay unit. The mean (SD) age of the patients was 64 (17) years and 79% were men. The mean length of stay was 3.3 (1.6) days-only 1.4% of patients stayed for longer than 4 days-and the readmission rate was 2.7%. There were no deaths. The existence of the short-stay respiratory unit led to a 30% decrease in the overall mean length of stay in the respiratory medicine department (11.8 [4.6] vs 8.3 [2.6] days; <span class="elsevierStyleItalic">P</span> < .001), and the readmission rate fell from 21% to 15% (<span class="elsevierStyleItalic">P</span> < .05). While there were no differences in mortality between the 2 periods, the complexity of diseases treated by the respiratory medicine department showed an increase of 9.2% (<span class="elsevierStyleItalic">P</span> < .001).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">A short-stay respiratory unit can improve the efficiency of care delivered by a respiratory medicine department by reducing both the mean duration of hospitalization and the readmission rate, without a reduction in the complexity of diseases treated or a need for additional resources.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La presión asistencial sobre la hospitalización convencional es un problema acuciante en los servicios de neumología. El propósito del estudio ha sido analizar el impacto de un nuevo dispositivo, la unidad neumológica de estancia corta (UNEC), sobre la calidad de la atención en el servicio de neumología de un hospital terciario.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">La UNEC se dotó de 4 camas de hospitalización convencional, gestionadas por un neumólogo especializado. En ella ingresaron sólo pacientes con diagnósticos de exacerbación de enfermedad pulmonar obstructiva crónica (EPOC) o asma bronquial, neumonía extrahospitalaria o sospecha de cáncer de pulmón, y previsión de estancia inferior a 4 días. Se analizó el período de puesta en funcionamiento de la unidad (6 meses, de octubre a marzo) frente al mismo período del año anterior, valorándose los distintos índices de calidad asistencial.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyó a 147 pacientes (79% varones), con una media ± desviación estándar de edad de 64 ± 17 años. La estancia media en la UNEC fue de 3,3 ± 1,6 días -sólo un 1,4% de los pacientes superó los 4 días- y la tasa de reingresos, del 2,7%. No hubo mortalidad. Con la UNEC, la estancia media global en el servicio disminuyó un 30% (de 11,8 ± 4,6 a 8,3 ± 2,6 días; p < 0,001), al igual que los reingresos (del 21 al 15%; p < 0,05), sin cambios en la mortalidad. Sin embargo, la complejidad de las enfermedades ingresadas en neumología aumentó un 9,2% (p < 0,001).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La UNEC puede mejorar la eficiencia de la atención neumológica al disminuir la estancia media hospitalaria y la tasa de reingresos, sin reducir la complejidad de las enfermedades atendidas ni precisar recursos adicionales específicos.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:32 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ingresos hospitalarios inadecuados y días de estancia inactivos en pacientes con enfermedad pulmonar obstructiva crónica y neoplasia pulmonar" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J Bañeres" 1 => "J Alonso" 2 => "JM Broquetas" 3 => "JM Antó" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin (Barc)" "fecha" => "1993" "volumen" => "100" "paginaInicial" => "407" "paginaFinal" => "411" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Respiratory day hospital: a novel approach to acute respiratory care" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K Schwartzman" 1 => "G Duquette" 2 => "M Zaoude" 3 => "MJ Dion" 4 => "MA Lagace" 5 => "J Poitras" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "CMAJ" "fecha" => "2001" "volumen" => "165" "paginaInicial" => "1067" "paginaFinal" => "1071" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11699705" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hospitalización domiciliaria, ¿una nueva modalidad asistencial?" 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 2 | 5 | 7 |
| 2024 October | 27 | 18 | 45 |
| 2024 September | 35 | 19 | 54 |
| 2024 August | 42 | 32 | 74 |
| 2024 July | 28 | 22 | 50 |
| 2024 June | 35 | 26 | 61 |
| 2024 May | 36 | 22 | 58 |
| 2024 April | 21 | 29 | 50 |
| 2024 March | 21 | 16 | 37 |
| 2024 February | 21 | 19 | 40 |
| 2023 March | 6 | 2 | 8 |
| 2023 February | 18 | 17 | 35 |
| 2023 January | 19 | 34 | 53 |
| 2022 December | 20 | 23 | 43 |
| 2022 November | 17 | 29 | 46 |
| 2022 October | 26 | 27 | 53 |
| 2022 September | 17 | 23 | 40 |
| 2022 August | 21 | 42 | 63 |
| 2022 July | 22 | 26 | 48 |
| 2022 June | 18 | 42 | 60 |
| 2022 May | 19 | 26 | 45 |
| 2022 April | 22 | 26 | 48 |
| 2022 March | 21 | 47 | 68 |
| 2022 February | 11 | 30 | 41 |
| 2022 January | 18 | 35 | 53 |
| 2021 December | 25 | 44 | 69 |
| 2021 November | 21 | 47 | 68 |
| 2021 October | 25 | 50 | 75 |
| 2021 September | 16 | 66 | 82 |
| 2021 August | 13 | 42 | 55 |
| 2021 July | 13 | 28 | 41 |
| 2021 June | 13 | 32 | 45 |
| 2021 May | 18 | 25 | 43 |
| 2021 April | 60 | 67 | 127 |
| 2021 March | 14 | 14 | 28 |
| 2021 February | 12 | 22 | 34 |
| 2021 January | 17 | 20 | 37 |
| 2020 December | 16 | 20 | 36 |
| 2020 November | 12 | 17 | 29 |
| 2020 October | 16 | 10 | 26 |
| 2020 September | 10 | 9 | 19 |
| 2020 August | 8 | 15 | 23 |
| 2020 July | 15 | 22 | 37 |
| 2020 June | 8 | 4 | 12 |
| 2020 May | 17 | 22 | 39 |
| 2020 April | 13 | 14 | 27 |
| 2020 March | 11 | 9 | 20 |
| 2020 February | 17 | 13 | 30 |
| 2020 January | 20 | 21 | 41 |
| 2019 December | 14 | 13 | 27 |
| 2019 November | 11 | 7 | 18 |
| 2019 October | 2 | 9 | 11 |
| 2019 September | 4 | 14 | 18 |
| 2019 August | 13 | 9 | 22 |
| 2019 July | 10 | 26 | 36 |
| 2019 June | 6 | 13 | 19 |
| 2019 May | 9 | 12 | 21 |
| 2019 April | 9 | 22 | 31 |
| 2019 March | 7 | 19 | 26 |
| 2019 February | 7 | 11 | 18 |
| 2019 January | 3 | 7 | 10 |
| 2018 December | 5 | 11 | 16 |
| 2018 November | 20 | 15 | 35 |
| 2018 October | 33 | 21 | 54 |
| 2018 September | 16 | 8 | 24 |
| 2018 May | 3 | 0 | 3 |
| 2018 April | 14 | 9 | 23 |
| 2018 March | 7 | 4 | 11 |
| 2018 February | 10 | 11 | 21 |
| 2018 January | 11 | 8 | 19 |
| 2017 December | 6 | 6 | 12 |
| 2017 November | 7 | 7 | 14 |
| 2017 October | 10 | 10 | 20 |
| 2017 September | 6 | 7 | 13 |
| 2017 August | 13 | 18 | 31 |
| 2017 July | 8 | 11 | 19 |
| 2017 June | 13 | 8 | 21 |
| 2017 May | 8 | 11 | 19 |
| 2017 April | 3 | 0 | 3 |
| 2017 March | 9 | 8 | 17 |
| 2017 February | 4 | 6 | 10 |
| 2017 January | 4 | 5 | 9 |
| 2016 December | 3 | 6 | 9 |
| 2016 November | 5 | 4 | 9 |
| 2016 October | 3 | 2 | 5 |
| 2016 September | 5 | 6 | 11 |
| 2016 August | 5 | 3 | 8 |
| 2016 July | 6 | 0 | 6 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 3 | 0 | 3 |
| 2015 November | 1 | 0 | 1 |
| 2015 October | 43 | 9 | 52 |
| 2015 September | 55 | 6 | 61 |
| 2015 August | 39 | 10 | 49 |
| 2015 July | 35 | 4 | 39 |
| 2015 June | 115 | 5 | 120 |
| 2015 May | 38 | 9 | 47 |
| 2015 April | 31 | 18 | 49 |
| 2015 March | 37 | 5 | 42 |
| 2015 February | 28 | 3 | 31 |
| 2015 January | 25 | 5 | 30 |
| 2014 December | 30 | 5 | 35 |
| 2014 November | 24 | 7 | 31 |
| 2014 October | 48 | 6 | 54 |
| 2014 September | 24 | 7 | 31 |
| 2014 August | 32 | 6 | 38 |
| 2014 July | 38 | 10 | 48 |
| 2014 June | 41 | 6 | 47 |
| 2014 May | 49 | 9 | 58 |
| 2014 April | 54 | 7 | 61 |
| 2014 March | 58 | 13 | 71 |
| 2014 February | 40 | 7 | 47 |
| 2014 January | 33 | 7 | 40 |
| 2013 December | 52 | 11 | 63 |
| 2013 November | 32 | 9 | 41 |
| 2013 October | 28 | 10 | 38 |
| 2013 September | 35 | 10 | 45 |
| 2013 August | 36 | 5 | 41 |
| 2013 July | 49 | 10 | 59 |
| 2013 June | 36 | 8 | 44 |
| 2013 May | 36 | 4 | 40 |
| 2013 April | 24 | 2 | 26 |
| 2013 March | 11 | 1 | 12 |
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