[Measurement of mortality as the effect of hospital intervention at an internal medicine service].
The mortality measurement by the effect of hospital mediation is little known. The aim of the present study was to evaluate the mortality rate in a Internal Medicine Service of a Regional Hospital and to know there are the mortality risk factors, that might have influenced by hospital mediation. 870 patients were analyzed during a period of one year. The risk factors were classified in three groups: to the individual, to the hospital admission and we compared there with the calculation of the Odds Ratio (OR) and its 95% confidence intervals (95% CI) by a bivariate and multivariate analysis. The mortality rate was about 10.2% (CI: 8.2 +/- 12.2). Age older 70 years, the re-enter and the diagnostic of Cerebral Infarct were the individual factors associated with a higher risk. The insertion of nasogastric catheters and the use of diuretics were the only hospital-related factors that were correlated with mortality. The hospital infection and the heart complication were also the risk factors of death. These findings suggest there are risk factors to report with mortality risk. That could be used to evaluate the clinical resolution in order to reduce the hospital mortality.
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Hospital Municipal de Badalona, Unidad de Estadística y Documentación Médica, Barcelona.
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D000368:Aged; D005260:Female; D017052:Hospital Mortality; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006801:Humans; D007388:Internal Medicine; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D012307:Risk Factors; D013030:Spain
Medida de la mortalidad como efecto de la intervención hospitalaria en un servicio de medicina interna.