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0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <]>> startxref 116 %%EOF Análisis de traslados interhospitalarios de pacientes críticos a un área de unidad coronaria de un hospital de alta complejidad - Archivo PPCT

Análisis de traslados interhospitalarios de pacientes críticos a un área de unidad coronaria de un hospital de alta complejidad;
Analysis of Interhospital Transfer of Critically Ill Patients to the Coronary Care Unit of a Highly Complex Hospital

Creators:de Abreu, Maximiliano, Mariani, Javier A., González Villa Monte, Gabriel A., Rosende, Andrés, Bacigalupe, Juan, Kyle, Diego, Riga, Natalia, D´Imperio, Heraldo, Antonietti, Laura Y., Tajer, Carlos
2017-05-24

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Descripción

Introducción: Los traslados interhospitalarios de pacientes críticos son frecuentes en nuestro medio; sin embargo, a pesar de la existencia de servicios de traslados médicos de emergencia tanto en el ámbito público como privado, no se han generado publicaciones científicas relacionadas con traslado de pacientes críticos que permitan conocer su funcionamiento, planificación y resultados. Objetivo: Describir las condiciones de traslado interhospitalario de pacientes con patología cardiovascular. Material y métodos: Estudio de diseño observacional, prospectivo, multicéntrico. Se relevaron los traslados interhospitalarios por vía terrestre de pacientes ingresados a una unidad coronaria de tercer nivel entre abril de 2014 y abril de 2015. Se encuestó al médico de traslado. Se relevaron además las complicaciones relacionadas con el traslado y la mortalidad hospitalaria. Resultados: Se analizaron 214 traslados. Mediana de tiempo de traslado: 30 minutos (IIC 18,5-50). El 16,1% de los traslados se consideraron de riesgo alto, el 71,2% de riesgo moderado y el 12,7% de riesgo bajo, según un puntaje validado. Los principales diagnósticos fueron síndrome coronario agudo (66,8%), insuficiencia cardíaca (8,9%) y bradiarritmia o bloqueo (3,7%). El 73,5% de los traslados de riesgo alto se realizaron con móviles de alta complejidad y entre los de riesgo bajo y moderado, el 30,8% y el 28,9%, respectivamente, se efectuaron con móviles de baja complejidad. El 50% de los traslados fueron realizados por médicos residentes. El 10,8% presentaron alguna complicación durante el traslado y/o durante la primera hora. Las complicaciones fueron más frecuentes en traslados de riesgo alto y se asociaron con mortalidad hospitalaria. No existió asociación entre mayor riesgo de traslado estimado y mayor complejidad del móvil (p = 0,6). Conclusión: La programación de traslados no fue adecuada. El riesgo calculado de los traslados fue predominantemente bajo, con una elevada proporción de complicaciones graves, que impactaron en la mortalidad hospitalaria.

Background: Interhospital transfer of critically ill patients is frequent in our country. However, despite the existence of emergency medical transfer services both in public and private settings, no scientific publications have been generated regarding the transfer of critically ill patients to understand their operation, planning and results. Objective: The aim of this study was to describe the conditions of interhospital transfer of cardiovascular disease patients. Methods: This was an observational, prospective, multicenter design study, analyzing interhospital land transfer of patients admitted to a third level coronary care unit between April 2014 and April 2015. The transfer physician was surveyed. Complications related to hospital transfer and mortality were also recorded. Results: A total of 214 transfers were analyzed. Median transfer time was 30 minutes (IQR 18.5-50). Among all transfers, 16.1% of cases were considered to be at high risk, 71.2% at moderate risk and 12.7% at low risk, according to a validated score. The main diagnoses were acute coronary syndrome (66.8%), heart failure (8.9%) and bradyarrhythmia or blockade (3.7%). In 73.5% of highrisk transfers, high complexity ambulances were used, and in low- and moderate-risk transfers (30.8% and 28.9%, respectively), they were carried out with low complexity ambulances. Fifty percent of transfers were performed by resident physicians; 10.8% of cases presented with some complication during the transfer and/or during the first hour. Complications were more frequent in high-risk transfers and were associated with in-hospital mortality. There was no association between estimated increased risk of transfer and greater ambulance complexity (p=0.6). Conclusion: Transfer scheduling was not adequate. The calculated risk of transfers was predominantly low, with a high proportion of severe complications, which impacted in in-hospital mortality.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 85, No 1 (2017); 14-20, Argentine Journal of Cardiology; Vol 85, No 1 (2017); 14-20

Citación

de Abreu, Maximiliano et al., “Análisis de traslados interhospitalarios de pacientes críticos a un área de unidad coronaria de un hospital de alta complejidad,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/9251.

Dublin Core

Autor

de Abreu, Maximiliano
Mariani, Javier A.
González Villa Monte, Gabriel A.
Rosende, Andrés
Bacigalupe, Juan
Kyle, Diego
Riga, Natalia
D´Imperio, Heraldo
Antonietti, Laura Y.
Tajer, Carlos

Fuente

Revista Argentina de Cardiología; Vol 85, No 1 (2017); 14-20
Argentine Journal of Cardiology; Vol 85, No 1 (2017); 14-20

Editor

Sociedad Argentina de Cardiología

Fecha

2017-05-24

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

spa
eng

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion