Xueqing L, Shunchao K, Blanco AMÁ

Language: Spanish
References: 0
Page: 24-32
PDF size: 209.57 Kb.

ABSTRACT

Introduction: The re-entry of a diabetic patient is an indicator in which the quality of health care, the particular characteristics of the patient and those who help them interact. It also implies increases in complications, mortality and costs for the health system and the patient. Later re-admissions may be due to problems derived from the evolution of diseases in patients, such as comorbidity and the severity of the disease, and also to the care received outside the hospital.
Objective: to identify factors associated with the re-entry of diabetic patients with high comorbidity.
Methods: This is a descriptive cases series study, prospective, with 110 patients admitted to the Internal Medicine ward of a hospital in Havana. As a result, variable, the hospital re-admission was considered in three months of follow-up.
Results: 35.5 % of the cases re-admitted in less than three months. Sixty-one were women and the average age was 70.38 years. Forty-nine were men and the average age was 66.19 years. The most frequent comorbidities were hypertension 95.5 %, ischemic heart disease 61.8 % and central obesity 56.4 %. The score in Charlson index was 4.41 in the re-admitted cases and 3.54 in the non-re-admitted.
Conclusions: The high frequency of readmissions in this series is associated with characteristics that define diabetics in the study as elderlies with high rates of dependent comorbidities, mainly, the presence of cardiovascular complications of diabetes associated with hypertension.