Publication: Ganancia funcional en pacientes con accidente vascular cerebral o fractura de cadera ingresados en la unidad de media estancia
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2017-02-09
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Universidad Complutense de Madrid
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Abstract
Hipótesis: En España existen escasos artículos que analicen la ganancia funcional en Unidades de media estancia (UME), así como también hay discrepancia entre los objetivos estipulados en los planes de salud regional con la ganancia funcional descrita en la literatura. El presente estudio nos permitirá evaluar la ganancia funcional de un subgrupo de pacientes ingresados en una UME por dos enfermedades que generan discapacidad, los accidentes vasculares cerebrales agudos y las fracturas de cadera, y es importante hablar de ello por la magnitud que supone tanto a nivel de costes, como en el consumo de recursos sanitarios. Objetivos: Evaluar el porcentaje de pacientes mayores de 65 años, con ganancia funcional, tras fractura de cadera o accidentes vasculares cerebrales, a través del Índice de Actividades Básicas de la Vida Diaria (ABVD), del Resource Utilization Groups (RUG) III, al alta de la UME del Hospital Fundación Privada Asilo de Granollers (HFPAG). Comparar los resultados de ganancia funcional según diagnósticos, grupos etarios y patrón cognitivo. Identificar posibles factores predictores de ganancia funcional. Comparar los resultados de ganancia funcional con otras UME de Cataluña...
Hypothesis: There are a few articles in Spain that analyze functional gain in Postacute rehabilitation units, and there is discrepancy in functional gain between the objectives that propose Health regional entity and the ones described at literature. This study allow us to evaluate functional gain in a subgroup of patients admitted to Postacute rehabilitation unit because of two diseases that generates disability, acute stroke and hip fracture, and is important to talk about it because of the magnitude that it suppose not only in costs but also in consume of health resources. Objectives: To evaluate the percentage of patients older than 65 years old, with functional gain after hip fracture or stroke admitted to our Postacute rehabilitation unit, through the index Activities of daily living (ADL), from RUG III. To compare functional gain by diagnosis, age groups and cognitive performance. To identify possible predictor factors of functional gain. To compare our findings of functional gain with other Postacute care units of Cataluña region...
Hypothesis: There are a few articles in Spain that analyze functional gain in Postacute rehabilitation units, and there is discrepancy in functional gain between the objectives that propose Health regional entity and the ones described at literature. This study allow us to evaluate functional gain in a subgroup of patients admitted to Postacute rehabilitation unit because of two diseases that generates disability, acute stroke and hip fracture, and is important to talk about it because of the magnitude that it suppose not only in costs but also in consume of health resources. Objectives: To evaluate the percentage of patients older than 65 years old, with functional gain after hip fracture or stroke admitted to our Postacute rehabilitation unit, through the index Activities of daily living (ADL), from RUG III. To compare functional gain by diagnosis, age groups and cognitive performance. To identify possible predictor factors of functional gain. To compare our findings of functional gain with other Postacute care units of Cataluña region...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina, leída el 09/02/2016