O Mundo da Saúde (Apr 2019)
Association between diagnosis, clinical outcome and hospitalization time of the elderly in a university hospital
Abstract
Clinical outcomes of hospitalized elderly provide subsidies to prevent complications that interfere with quality of life. Objectives: to verify the sociodemographic characteristics and to analyze the associations between the diseases diagnosed at admission, age, hospitalization time and clinical outcome of elderly hospitalized in SUS and private care. Method: Descriptive and quantitative cross-sectional survey of 14,892 medical records of elderly patients hospitalized in the year 2014. The statistical tests used were chi-squared and analysis of variance. Results: 93.5% were white, 80.2% were catholic, 68% had a primary education, 62.9% had partners, 53.8% were males, 33.1% were homemakers and the average age was 72.1 years ± 8.6 years. The mean duration of hospitalization was 5.9 days ± 8.8 days, cardiovascular diseases were the most frequent, with a clinical outcome of 93.4% of hospital discharges and 6.6% of deaths, and 100% of hematological diseases were discharged. There was a significant association rate between diseases and death from infections (n=817; 60.0%). The association of diseases with the type of SUS care was statistically significant. Moreover, the occurrence of pain, nephro-urological diseases, orthopedic diseases, hematological and gynecological diseases and other diseases showed a statistically significant association with private care or health plan. Conclusion: The association between the diseases and the clinical outcome showed a greater incidence of death in patients affected by infections. The association of diseases was statistically significant with the type of care, highlighting the SUS care.
