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Anales de Medicina Interna

 ISSN 0212-7199

OCHOA-GOMEZ, J. et al. Adecuación de los ingresos hospitalarios urgentes . []. , 19, 9, pp.8-10. ISSN 0212-7199.

^les^aObjetivo: Estudio realizado para conocer el porcentaje de ingresos inapropiados urgentes de un hospital general.  Material y métodos: Estudio descriptivo retrospectivo de los pacientes ingresados durante 1.999 mediante aplicación del Appropriateness Evaluation Protocol (AEP) para valorar la adecuación del ingreso.  Resultados: Dieciocho pacientes (4,5%) ingresaron de forma inapropiada. Hubo mayor riesgo de ingreso inadecuado por los especialistas médicos (internista de guardia, hematólogo o nefrólogo): odds ratio frente a ingreso por médico de Urgencias de 5,3 (p<0,03).  Conclusiones: Destaca una bajo porcentaje de ingresos inadecuados (4,5%). Existe mayor riesgo cuando el médico responsable del ingreso pertenece a una especialidad médica. ^len^aIntroduction: The aim of this work is to know the proportion of inadequate urgent admissions in a general hospital.  Material and methods: A retrospective and descriptive study of patients admitted during 1,999 was performed. The Appropriatness Evaluation Protocol (AEP) was used in order to evaluate the appropriatness of the admissions.  Results: Eighteen admissions (4.5%) were inadecuated. There was a higher proportion of inappropriated admission (IA) when the physician responsible of the admission was a medical specialist (internal medicine, hematology or nephrology): odds ratio 5.3 in opposite to emergency physicians (p<0.03).  Conclusions: There was a low proportion of inadequate admissions (4.5%) and the risk of inappropriatness of the admission was major when it was ordered by a medical specialist. 

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