• Atencion primaria · Sep 2024

    [Impact of primary care nursing discharge follow-up on early hospital readmissions. Observational longitudinal study].

    • Raquel Sánchez-Ruano, Pedro López-Paterna, César Alfonso García-Hernández, Ricardo Rodríguez-Barrientos, Elvira Herrero-Sanchox, Marcos Pascual-García, and Milagros Rico-Blázquez.
    • Unidad de investigación de la Gerencia Asistencial de Atención Primaria de Madrid, Madrid, España. Electronic address: rsruano@salud.madrid.org.
    • Aten Primaria. 2024 Sep 12; 57 (2): 103083103083.

    AimTo determine the proportion of people who undergo discharge follow-up when indicated.DesignRetrospective longitudinal observational study, with an analytical approach.Populationpersons discharged from the Hospital Universitario de la Princesa of any age and sex, with any reason for admission and with an indication for discharge follow-up in Primary Care. Users who did not have an assigned Autonomous Personal Identification Code (CIPA) were excluded. Random sample (n=289).VariablesDischarge follow-up and readmissions (<30 days). Sociodemographic, clinical and discharge follow-up variables were included from the electronic medical records of Primary and Hospital Care. A descriptive analysis of the sociodemographic and clinical characteristics of the study population was conducted. To analyze the association between discharge follow-up and readmissions, a logistic regression model was used.ResultsAge 72.4 years (RIQ 60-87). 55.2% of the population were women. Follow-up was conducted in 61.2% of those indicated. According to the logistic regression model performed between early readmission and discharge follow-up, adjusted for all other factors, the group with discharge follow-up had a 66% lower likelihood of hospital readmission (OR 0.34, 95% CI (0.18-0.67)).ConclusionsThese findings suggest that nursing discharge follow-up conducted in primary care reduces the risk of early readmission.Copyright © 2024 The Author(s). Publicado por Elsevier España S.L.U. All rights reserved.

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