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:10/13/2017)... ... October 13, 2017 , ... Global Healthcare Management’s 4th ... Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s CEO, ... The fun run is geared towards children of all ages; it is a non-competitive, ...
(Date:10/13/2017)... ... ... “America On The Brink”: the Christian history of the United States and the ... published author, William Nowers. Captain Nowers and his wife, Millie, have six children, ... in the Navy. Following his career as a naval aviator and carrier pilot, ...
(Date:10/12/2017)... ... 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ), one of ... innovative new design of the shoulder pad. The shoulder pad provides optimal support ... your pain while using cold therapy. By utilizing ice and water that is circulated ...
(Date:10/12/2017)... ... October 12, 2017 , ... HMP , a leader in healthcare ... Folio Magazine Eddie Digital Award for ‘Best B-to-B Healthcare Website.’ Winners were announced during ... , The annual award competition recognizes editorial and design excellence across a range of ...
(Date:10/12/2017)... ... October 12, 2017 , ... In the ... a year. In some states—like New York, New Jersey, Massachusetts, Texas, Virginia, Connecticut, ... retirement havens have extremely low property-tax rates, which contributes to the relatively lower ...
Breaking Medicine News(10 mins):
(Date:9/28/2017)... WASHINGTON , Sept. 28, 2017 Cohen ... to advance the use of wearable and home sensors ... brain disorders. Early Signal Foundation, a nonprofit organization focused ... populations, will provide an affordable analytical system to record ... ...
(Date:9/27/2017)... NEW YORK , Sept. 27, 2017  DarioHealth Corp. (NASDAQ: ... data solutions, today announced that its MyDario product is expected to appear ... listings for when The Dr. Oz Show airs in your area: ... The nine-time Emmy award-winning, The ... ...
(Date:9/25/2017)... PROVIDENCE, R.I. , Sept. 25, 2017 /PRNewswire/ ... immunogenicity assessment, vaccine design, and immune-engineering today announced ... focused on the development of personalized therapeutic cancer ... and has provided exclusive access to enabling technologies ... MSc Eng., MBA will lead EpiVax Oncology as ...
Breaking Medicine Technology: