Navigation Links
An efficient response in primary care would reduce the use of hospitals by elderly people
Date:3/7/2008

This release is available in Spanish.

Researchers from the Department of Preventive Medicine and Public Health from the University of Granada have carried out a study with patients over 60. The main conclusion they have come to is that an efficient response in primary care would reduce hospitalisations in more than 50% of the cases caused by three of the most frequent pathologies in older population: diabetic ketoacidosis, digestive haemorrhage and chronic bronchitis.

The study, carried out by Doctor Isabel Valenzuela Lpez and supervised by Professors Aurora Bueno Cavaillas and Jos Luis Gastn Morata, has analysed the main reasons for hospitalisations caused by the pathologies that demand an effective response in primary care and how these hospitalisations could be avoided.

The significance of such study is unquestionable, considering that the elderly population represents the highest public health consumption. Furthermore, the percentage of the Spanish population who reaches an elderly age has risen from 26% at the beginning of the 20th century to 86% today.

Chronic diseases

The expanding proportion of elderly people has altered the pattern of illnesses which were once frequent - explains the author of this project- and now chronic diseases, a higher need of medicines and social care needs prevail. All this means a higher consumption of both public health resources and national health assistance since the elderly population makes up between 40-45% of the hospitalisations, occupies 40-50% of doctors working in primary care, and is the recipient of more than 50% of the medicines prescribed in hospitals.

The researchers interviewed all the family doctors from seven different hospitals in Granada and asked them about the main reasons for hospitalisations in patients over 60 as well as to what extent these hospitalisations, caused by the problems described above, could be prevented. The interviewed professionals answered that a more efficient response in primary health care would reduce in more than 50% the hospitalisations caused by three pathologies: diabetic ketoacidosis, digestive haemorrhage and chronic bronchitis. However, in patients suffering from cancer and acute coronary syndrome an enhanced primary care would only reduce the hospitalisations by 25%.

Scientists analysed 6 health problems, 3 chronic diseases (acute coronary syndrome, chronic bronchitis and diabetes) and three acute ones (pneumonia, transient ischemic attack and digestive haemorrhage) to find the connection between primary care effectiveness and the prevention of hospitalisations caused by these health problems. 717 patients over 60 were taken for the study, with an average age of 75.65 years 59.97% of whom were men.

Twice the risk

Isabel Valenzuela outlines that, according to the study, each new chronic disease suffered by a patient means twice the risk of hospitalisation by any of the 6 studied pathologies which means that anyone suffering 5 or more diseases would present a probability of hospitalisation 61 times higher than someone healthy. Moreover, each new medicine prescribed increases the risk of hospitalisation. Those patients who have been taking 5 or more different medications for the last 6 months have a 4.84 times increase in their risk of hospitalisation for these pathologies.

In short, the number of pathologies suffered by individual as well as past hospitalisations for causes different to those studied was considered as a risk factor for hospitalisations, although more significantly for severe cases. The amount of medicines consumed and the number of visits to the hospital was related with a higher frequency of hospitalisation, especially in chronic cases.


'/>"/>

Contact: Isabel Valenzuela Lpez
isavallop@hotmail.com
34-610-702-891
Universidad de Granada
Source:Eurekalert

Related medicine news :

1. Single reader with CAD more efficient, yields fewer false positives, and possibly more sensitive
2. Childrens Hospital of Orange County Chooses RIVA System For Safe and Efficient IV Preparation
3. Antidepressants that are more efficient and faster
4. Combined Boards Provide Better Care to More Clients More Efficiently
5. Using Efficient Communication to Boost Pharma Sales Force Productivity
6. Thomson Healthcare Study Finds That Hospitals Delivering High-Quality Heart Care Are Efficient and Cost Effective, Too
7. More Efficient, Effective and Personal Patient Care at New McCune-Brooks Hospital Made Possible by Siemens HiPath(R) Wireless
8. Cardinal Health, Sentry Data Systems Introduce New Technology to Help Health Care Providers More Cost-Efficiently Care for Underserved
9. Historic Agreement Reached to More Expertly and Efficiently Expand Proton Therapy Worldwide
10. Building efficient, effective, locally sensitive solutions for dementia care
11. Medical Affairs: Building Efficient Medical Affairs Functions That Drive Product Marketing Success
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... , ... June 25, 2016 , ... On Friday, June ... a Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments ... of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott ...
(Date:6/24/2016)... Marne, Michigan (PRWEB) , ... June 24, 2016 , ... ... awareness about the dangers associated with chronic pain and the benefits of holistic treatments, ... for individuals who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) ...
(Date:6/24/2016)... ... June 24, 2016 , ... Dr. Amanda ... orthodontic treatment. Dr. Cheng has extensive experience with all areas of orthodontics, including ... accelerated osteogenic orthodontics. , Micro-osteoperforation is a revolutionary adjunct to orthodontic treatment. ...
(Date:6/24/2016)... ... June 24, 2016 , ... EB ... Decision Making in Emergency Medicine conference in Ponte Vedra Beach, FL. The awards ... in Emergency Medicine Practice and Pediatric Emergency Medicine Practice. , “With ...
(Date:6/24/2016)... ... , ... National recruitment firm Slone Partners is pleased to announce ... experience, as Vice President of North American Capital Sales at HTG Molecular . ... sales team in the commercialization of the HTG EdgeSeq system and associated reagents in ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
(Date:6/23/2016)... 2016 Any dentist who has made an implant ... process. Many of them do not even offer this as ... high laboratory costs involved. And those who ARE able to ... a high cost that the majority of today,s patients would ... Parsa Zadeh , founder of Dental Evolutions Inc. and inventor ...
(Date:6/23/2016)... DUBLIN , June 23, 2016 ... "Global MEMS Devices Medical Market Analysis 2016 - Forecast to ... The report contains up to date financial ... reliable analysis. Assessment of major trends with potential impact on ... dive analysis of market segmentation which comprises of sub markets, ...
Breaking Medicine Technology: