Evaluación de la estancia hospitalaria en prótesis de cadera

  1. GARCÍA GARCÍA, ELENA
Supervised by:
  1. Carlos Martín Saborido Director
  2. Antonio Sarría Santamera Co-director

Defence university: Universidad de Alcalá

Fecha de defensa: 20 October 2011

Committee:
  1. Luis Pastor Gómez-Cornejo Chair
  2. María del Val Sandín Vázquez Secretary
  3. Agustín Rivero Cuadrado Committee member
  4. Carmen Gallardo Pino Committee member
  5. Néstor Pérez Mallada Committee member

Type: Thesis

Teseo: 316169 DIALNET lock_openTESEO editor

Abstract

BACKGROUND: There is a high component of medical variability which turns the hip arthroplasty into a process with different results as to the length of stay. OBJECTIVE: to evaluate the length of stay in hip arthroplasty procedures. PATIENTS AND METHODS: A mixed methodology was performed. We have analyzed organizational, scientist-technical and outcome indicators in the professionals’ and patients’ discourse of the orthopedic department with qualitative research. We have analyzed patients´ histories within DRG 818 for 2008. RESULTS: The age (average: 77.36 years, SD:12.38, range 40-95), hip fracture with hemiarthroplasty (61.4% of patients), total inter-medical reports (average: 2.54,SD: 2.536, range 0-12) and the delay to deal with medical reports for the rehabilitation department (average:2.53 days, SD: 3.166, range 0-16), are linked with an increase length of stay. These results match with those obtained on the qualitative research. CONCLUSIONS: The variability found seems to be caused by the kind of surgery, not using clinical pathways or teamwork, not planning the discharge and not managing properly beds and social problems.