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Challenges and improvement strategies in the hospitalization of chronic multimorbid patients

World Journal of Clinical Cases 2025年第3期13卷 35-41页

作者： Andres Fontalba-Navas Francisco Pozo Muñoz Rogelio Garcia Cisneros maria Jose Garcia Larrosa maria del mar callejon gil Ignacio Garcia delgado maria Belen Jimenez martinez Antequera Hospital Northern Málaga Integrated Healthcare AreaAntequera 29200AndalusiaSpain Department of Public Health and Psychiatry University of MálagaMálaga 29010Spain Antequera Hospital Northern Málaga Antequera Integrated Healthcare AreaAntequera 29200MálagaSpain

BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot *** diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient *** proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid *** To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital *** The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout *** HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity *** This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary *** coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient *** superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of ca

关键词： High complexity unit Chronic multimorbidity Patient-centered care Integrated care Healthcare management

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COVID-19 pandemic,as experienced in the surgical service of a district hospital in Spain

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World Journal of Clinical Cases 2021年第23期9卷 6582-6590页

作者： Francisco Javier Pérez Lara maria Belen Jimenez martinez Francisco Pozo Muñoz Andres Fontalba Navas Rogelio Garcia Cisneros maria Jose Garcia Larrosa Ignacio Garcia delgado maria del mar callejon gil Department of Surgery Hopital de AntequeraAntequera 29200MálagaSpain North Malaga Healthcare District Hopital de AntequeraAntequera 29200MálagaSpain

The coronavirus disease 2019,which is caused by severe acute respiratory syndrome coronavirus 2,was first identified in December 2019 in Wuhan,China,and has since spread rapidly,evolving into a full-blown *** would like to report our experience after 1 year of this pandemic in the surgical service of a district hospital in *** have been many changes(including new protocols)that our service and the hospital have undergone,to adapt to the new *** believe that this experience can be useful for other professionals who have lived and are living a similar situation.

关键词： COVID-19 Hospital Experience Surgery Service Treatment

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Risk Factors for Preeclampsia:Results from a Cohort of Over 5000 Pregnancies in Spain

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Maternal-Fetal Medicine 2021年第2期3卷 100-106页

作者： Diana Cuenca Valeria Rolle Katy de Paco Matallana Nuria Valiño Rocio Revello Begoña Adiego Manel Mendoza Belen Santacruz maria del mar gil Department of Obstetrics and Gynecology Hospital Universitario de TorrejonTorrejon de ArdozMadrid 28850Spain Bioestatistics and Epidemiology Platform at Fundacion para la Investigacion e Innovacion Biosanitaria del Principado de Asturias Oviedo 33011Spain Department of Obstetrics and Gynecology Hospital Clínico Universitario“Virgen de la Arrixaca”El PalmarInstitute for Biomedical Research of MurciaIMIB-ArrixacaEl PalmarMurcia 30120Spain Department of Obstetrics and Gynecology Complejo Hospitalario Universitario A CorunaA CorunaGalicia 15006Spain Department of Obstetrics and Gynecology Hospital Universitario QuironPozuelo de AlarconMadrid 28223Spain Department of Obstetrics and Gynecology Hospital Universitario Fundacion e AlcorconAlcorconMadrid 28922Spain Department of Obstetrics and Gynecology Hospital Universitario Vall d’HebronBarcelona 08035Spain School of Medicine Universidad Francisco de VitoriaPozuelo de AlarconMadrid 28223Spain

Objective:To determine the incidence of preeclampsia(PE)and preterm PE in Spain and to identify the risk factors for developing the ***:This is a multicenter prospective cohort study performed at six maternity units across *** with singleton pregnancies attending their first-trimester routine visit at the hospital were offered *** and pregnancy characteristics,including mean arterial pressure,as well as ultrasound findings were *** and multivariate logistic regression analyses were performed to identify independent risk factors for subsequent development of ***:A total of 5868 pregnancies were recruited for this study,including 174(3.0%)cases of PE,47(0.8%)cases of preterm PE and 127(2.2%)cases of term *** maternal age was 33.9 years(interquartile range:30.1 to 36.9)and median gestational age at the routine visit was 12.7 weeks(interquartile range:12.3 to 13.0).However,293(5.0%)of the women were on aspirin treatment during pregnancy,likely reducing the true incidence of the *** expected,increasing body mass index(Pdelivery before term due to its *** of PE by risk factors alone is only able to detect about 40%of total PE at 10%screen-positive rate.

关键词： Pre-eclampsia Aspirin Risk factors Screening

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