Adecuacion de Ingresos Hospitalarios en un Servicio de Urgencias de un Hospital Terciario de la Comunidad de Madrid

  1. M. Hernández Egido 1
  2. C.A. Guillén Astete 1
  3. C. Carballo Cardona 1
  1. 1 Hospital Universitario Ramon y Cajal (Madrid)
Revista:
Archivos de medicina

ISSN: 1698-9465

Any de publicació: 2015

Volum: 11

Número: 1

Tipus: Article

Altres publicacions en: Archivos de medicina

Resum

At present, health expenditure should be regulated to ensure sustainability. With this intention, the emergency services must develop efficient behavior patterns. The appropriateness of hospital admissions is a determinant of good resource management. The purpose of this study is to determine the appropriateness of hospital admissions in our emergency department using internationally validated criteria. We note that 370 hospital admissions 95.1% (CI 92.4-96.9) were adequate while 4.8% (CI 3.1-7.5) were inadequate. No differences between adequacy ratio of hospital admissions depending on the age of the patients were identified. Conducting periodic surveys of its kind in the emergency services can contribute significantly to the sustainability of health systems.