Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department.
<strong>Background:</strong> the stratification of patients is a very useful procedure in medical practice. <strong><br />Objective: </strong>To assess the implementation of an instrument for the stratification of patients with community-acquired pneumonia in the Emerge...
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2011-10-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/1544 |
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| author | Luis Alberto Corona Martínez Maria Caridad Fragoso Marchante Iris González Morales Dianelys Perla Sierra Martínez Sandra Borroto Lecuna Osmel Chávez Troya |
| author_facet | Luis Alberto Corona Martínez Maria Caridad Fragoso Marchante Iris González Morales Dianelys Perla Sierra Martínez Sandra Borroto Lecuna Osmel Chávez Troya |
| author_sort | Luis Alberto Corona Martínez |
| collection | DOAJ |
| description | <strong>Background:</strong> the stratification of patients is a very useful procedure in medical practice. <strong><br />Objective: </strong>To assess the implementation of an instrument for the stratification of patients with community-acquired pneumonia in the Emergency Department. <strong><br />Methods:</strong> A descriptive study was conducted at the General University Hospital of Cienfuegos. The instrument was applied to 394 (hospitalized or already discharged from the institution) with a diagnosis of community-acquired pneumonia between June 2009 and December 2010. As part of the assessment, indicators for process and results were used. <strong><br />Results:</strong> The instrument that has been developed is based on comprehensive clinical information and supported by complementary radiological information. It allows the classification of patients into six different stratifying layers. Of the 394 patients admitted because of pneumonia, more than 85% was stratified. The stratification was correct in 82% of them. There was a high rate of adherence to the suggested location on the instrument (99%). Adherence to antimicrobial therapy was of 73%. Patients with moderate pneumonia and a high probability of poor outcome (60%) predominated. The highest mortality was found in cases with severe pneumonia and little chance of recovery (74%). The overall mortality was 31%. <strong><br />Conclusions:</strong> Although susceptible of improvement, this tool is considered to be very useful for the decision making process when dealing with patients suffering from community-acquired pneumonia attended in the Emergency Department. It reduces hospitalization criteria variability and influences in-hospital patients’ location and antimicrobial therapy. |
| format | Article |
| id | doaj-art-30276fbb370f4bb8ab83e4f0d4ef1403 |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2011-10-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-30276fbb370f4bb8ab83e4f0d4ef14032025-01-30T21:28:44ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2011-10-0195457466797Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department.Luis Alberto Corona Martínez0Maria Caridad Fragoso Marchante1Iris González Morales2Dianelys Perla Sierra Martínez3Sandra Borroto Lecuna4Osmel Chávez Troya5Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.<strong>Background:</strong> the stratification of patients is a very useful procedure in medical practice. <strong><br />Objective: </strong>To assess the implementation of an instrument for the stratification of patients with community-acquired pneumonia in the Emergency Department. <strong><br />Methods:</strong> A descriptive study was conducted at the General University Hospital of Cienfuegos. The instrument was applied to 394 (hospitalized or already discharged from the institution) with a diagnosis of community-acquired pneumonia between June 2009 and December 2010. As part of the assessment, indicators for process and results were used. <strong><br />Results:</strong> The instrument that has been developed is based on comprehensive clinical information and supported by complementary radiological information. It allows the classification of patients into six different stratifying layers. Of the 394 patients admitted because of pneumonia, more than 85% was stratified. The stratification was correct in 82% of them. There was a high rate of adherence to the suggested location on the instrument (99%). Adherence to antimicrobial therapy was of 73%. Patients with moderate pneumonia and a high probability of poor outcome (60%) predominated. The highest mortality was found in cases with severe pneumonia and little chance of recovery (74%). The overall mortality was 31%. <strong><br />Conclusions:</strong> Although susceptible of improvement, this tool is considered to be very useful for the decision making process when dealing with patients suffering from community-acquired pneumonia attended in the Emergency Department. It reduces hospitalization criteria variability and influences in-hospital patients’ location and antimicrobial therapy.http://medisur.sld.cu/index.php/medisur/article/view/1544neumoníainfecciones comunitarias adquiridasservicios médicos de urgenciatoma de decisiones |
| spellingShingle | Luis Alberto Corona Martínez Maria Caridad Fragoso Marchante Iris González Morales Dianelys Perla Sierra Martínez Sandra Borroto Lecuna Osmel Chávez Troya Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. Medisur neumonía infecciones comunitarias adquiridas servicios médicos de urgencia toma de decisiones |
| title | Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. |
| title_full | Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. |
| title_fullStr | Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. |
| title_full_unstemmed | Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. |
| title_short | Applying an Instrument for the Stratification of Patients with Community-acquired Pneumonia in the Emergency Department. |
| title_sort | applying an instrument for the stratification of patients with community acquired pneumonia in the emergency department |
| topic | neumonía infecciones comunitarias adquiridas servicios médicos de urgencia toma de decisiones |
| url | http://medisur.sld.cu/index.php/medisur/article/view/1544 |
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