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Enfermería Global
On-line version ISSN 1695-6141
Abstract
CRUZADO ALVAREZ, Concepción et al. Effectiveness of the brass index in discharge Planning by case management nurses. Enferm. glob. [online]. 2018, vol.17, n.52, pp.487-511. Epub Oct 01, 2018. ISSN 1695-6141. https://dx.doi.org/10.6018/eglobal.17.4.306111.
Classifying patients according to complexity and frailty during hospitalization allows efficient planning of the scope of care required by the patient at discharge. The aim of this study was to measure the screening validity of the Blaylock Risk Assessment Screening Score and its effectiveness in discharge planning.
Methods:
In 370 patients we analyzed the variables hospital stay, destination at discharge, use of healthcare resources and mortality.
Results:
Analysis of the relationship between mortality and the BRASS-Sp index with regard to gender and number of days of stay yielded a hazard ratio of 1.73 (95% CI 1.22-2.46; p=0.002) for male gender and 2.08 (95% CI 1.43-3.04; p<0.001) for the BRASS-Sp score. Patients who continued in case management in Primary Care had a mean BRASS-Sp of 20.97 (standard deviation 6.11), while in the other patients the mean was 19.35 (standard deviation 5.60), p=0.02.
Conclusions:
The BRASS-Sp proved easy-to-use with verified content validity that is effective for screening hospitalized patients by case management nurses.
Keywords : Patient Discharge; Planning; Blaylock Risk Assessment Screening Score; BRASS; Care Management.
