Mortalidad y uso de recursos sanitarios en pacientes ancianos en la provincia de Sevilladiferencias entre pacientes institucionalizados y en atención domiciliaria

  1. M. Huesa Andrade 1
  2. M.A. Pedregal González 2
  3. P. Bohórquez Colombo 3
  4. J.L. Calvo-Gallego 4
  1. 1 Centro de salud de Camas, Sevilla, España
  2. 2 Distrito Sanitario Huelva-Costa, Huelva, España
  3. 3 Centro de salud de Esperanza Macarena, Sevilla, España
  4. 4 Escuela Superior de Ingeniería de la Universidad de Sevilla, Sevilla, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2021

Issue: 2

Pages: 106-113

Type: Article

DOI: 10.1016/J.SEMERG.2020.07.004 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Objectives Society is ageing, and as a consequence, the population with increased frailty and comorbidity is growing. The aim is to analyse the mortality and its potential factors, as well as the use of healthcare resources in elderly patients, and to study the differences between institutionalised patients and those included in a home care program. Materials and methods An observational, longitudinal and prospective cohort study was conducted in Seville during 2016. The study subjects consisted of 1314 elderly patients (1061 institutionalised and 253 at home). The variables studied included mortality and its potential factors, and the use of healthcare resources. Results No differences were found in mortality between institutionalised and home care program patients (RR = 1.044; 95% CI; 0.74-1.46; P=.799). The leading cause of death was circulatory diseases followed by respiratory diseases. Among the factors explaining the mortality, it is important to highlight: age, dependency and admissions in the hospital or the emergency department. The patient's functional independence is associated with a higher survival rate. Differences were found between both groups in the number of calls to the Critical Care and Emergency Services (P=.022) or the primary care doctor (P<.001) and in the hospital admissions (P<.001), the first 2 differences being higher in home care program patients, and the latter in institutionalised patients. Conclusions There are no differences between groups either in the mortality or in the cause of death. Age, functional dependency and admissions in the hospital are factors which explain the mortality. The use of healthcare resources is higher in patients at home.

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