title: [Characteristics of Hospitalizations of Homeless Persons in Seville, Spain].
abstract: OBJECTIVE
  The aim was to determine the characteristics of hospital admissions of homeless persons in Seville, Spain.
  
  
  METHODS
  Observational study of 103,802 hospital admissions of 71,756 patients admitted in the Hospitals "Virgen del Rocío" and "Virgen Macarena" (Seville), in 2013 and 2014. Bivariate analysis were performed using χ2 and t-Student tests and multivariate analysis using binomial logistic regression model.
  
  
  RESULTS
  0.16% (n=163) of admissions were homeless persons and 99.84% (n=103,639) were not. The mean age at admission in homeless patients was 48 years and 76.5% of them were men. Hospital deaths of homeless patients occurred being 23 years younger. 92% of hospital admissions came from emergency departments and 10.0% of their discharges were against medical advice. The average length of stay was 4.8 days longer in homeless persons and the most frequent diagnoses on admission were mental (27.0%), infectious (19.6%) and respiratory diseases (18.4%). Mental disorders were present on 83.7% of homeless patients as secondary diagnose and 77.6% referred drugs consumption.
  
  
  CONCLUSIONS
  Hospital admissions characteristics of homeless persons were particularly different. Homeless patients were hospitalized and died at a younger age than non-homeless patients. The morbidity and mortality of homeless persons reflect their vulnerable health condition.
authors: Hospital Universitario Virgen del Rocío. Sevilla. sebastornero@yahoo.es.
authors: Sebastián
authors: S
authors: Tornero Patricio
authors: Escuela Andaluza de Salud Pública. Granada.
authors: Alberto
authors: A
authors: Fernández Ajuria
authors: Hospital Universitario Virgen del Rocío. Sevilla.
authors: Liliana
authors: L
authors: Charris Castro
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000367:Age Factors; D004636:Emergency Service, Hospital; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006703:Ill-Housed Persons / Q000706:statistics & numerical data; D007239:Infections / Q000453:epidemiology; D016015:Logistic Models; D001523:Mental Disorders / Q000453:epidemiology; D012141:Respiratory Tract Infections / Q000453:epidemiology; D013030:Spain / Q000453:epidemiology; D019966:Substance-Related Disorders
keywords: Alcohol drinking; HIV; Homeless persons; Hospitals; Length of stay; Morbidity; Mortality; Patient discharge; Spain; Tobacco; Tuberculosis