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Emergency Short-Stay Unit as an Effective Alternative to In-Hospital Admission for Acute Exacerbation of Chronic Heart Failure

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International Journal of Clinical Medicine 2014年第19期5卷 1200-1206页

作者： albert salazar Luis Garcia-Eroles Gemma Craywinckel Xavier Corbella Hospital de la Santa Creu i Sant Pau Barcelona Spain

Study Objective: To determine whether a new emergency department short-stay unit (EDSSU) was an effective alternative to conventional hospital units (HU) for acute exacerbation of chronic heart failure patients. Methods: Design: A comparative analysis was used to identify differences among patients admitted to EDSSU (n = 1546) and those admitted to the internal medicine (n = 552) or cardiology wards (n = 336) during the period of the study (January 1, 2008 to December 31, 2012). Setting: The study was performed at Sant Pau Hospital, a 500-bed teaching tertiary care referral center in Barcelona, Spain. The ED attends about 144,000 emergency visits per year. Participants: We studied retrospectively the characteristics of patients hospitalized with an acute exacerbation of chronic heart failure between January 1, 2008 and December 31, 2012 (n = 2434). We chose charts of patients from the hospital discharge database and selected according to the 9th revision of the International Classification of Diseases Codes. We used the computerized database to obtain outcome data on all patients. Results: Statistically significant differences were found in terms of mean age (HU: 77.38 (14.44) years versus EDSSU: 82.43 (8.72) years;p p p p = 0.998). There were statistically significant differences regarding sex (HU women = 60.6%;EDDSU women = 67.7%;p p < 0.001). Conclusion: The EDSSU proved to be an effective and safe measure in emergency care of patients with acute heart failure (AHF).

关键词： Emergency Short-Stay AHF

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Short-Stay Surgery: Impact of Opening a New Unit in a Tertiary Urban Hospital

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International Journal of Clinical Medicine 2016年第11期7卷 723-725页

作者： albert salazar Carme Bello Rosa Muñoz Ferran Caballero Carme Rullo Carme Zaldivar Xavier Martin Margarita Esteve Gemma Craywinckel Hospital de la Santa Creu i Sant Pau Universitat Autònoma Barcelona Barcelona Spain

Objective: The number of procedures considered suitable for short-stay surgery has experienced a remarkable increase. The objective of the study was to determine whether a new short-stay surgical unit (SSSU) was an effective alternative to conventional Hospital Units (HU) for selected elective and urgent surgical conditions. Methods: A comparative analysis (Mann-Whitney test) was used to identify differences between patients admitted to HU (n = 2873) and those admitted to the SSSU (n = 544) during the following months (January 1, 2014 to August 31, 2014, and January 1, 2015 to August 31, 2015, respectively). Results: Statistically significant differences were found in terms of mean length of stay (HU: 4.8 days versus SSSU: 2.2 days;P P = 0.02). There were no statistically significant differences regarding age and sex. Conclusions: We conclude that selected surgical patients with elective or acute conditions can be effectively treated in the SSSU.

关键词： Surgery Short-Stay Hospital Management

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