[Intermediate hospital care for subacute elderly patients as an alternative to prolonged acute hospitalization].


OBJECTIVE:We evaluated the rapid discharge of older patients with reactivated chronic diseases from an acute general hospital to an intermediate care hospital. METHODS:A cohort study was carried out. Compliance with predefined quality standards and patient selection were evaluated. RESULTS:Sixty-eight patients (mean age 82.6 years, 48.5% men) were discharged from the emergency department (69.1%) or medical wards (mean [SD] global length of stay 2.6 [2.9] days in acute wards and 1.5 [1.6] days in the emergency department). Mean post-acute length of stay (SD) was 11.4 (4.2) days. Fifty-six patients (82.4%) were discharged to their previous living situation (home or nursing home), two back to the emergency department, seven to long-term care, and three died. All quality standards were met. In a multivariate analysis, male gender and a higher risk of malnutrition were associated with an increased risk of not returning to the previous living situation (p <0.05). CONCLUSIONS:Intermediate care for selected patients with reactivated chronic diseases might represent an alternative to prolonged acute hospitalization.


Gac Sanit


Gaceta sanitaria


Inzitari M,Espinosa Serralta L,Pérez Bocanegra MC,Roquè Fíguls M,Argimón Pallàs JM,Farré Calpe J




Has Abstract


2012-03-01 00:00:00














  • [Use of emergency medical service and sociodemographic factors].

    abstract:OBJECTIVES:Health resources utilization is related to health conditions and to the population's sociodemographic characteristics. Low socioeconomic groups show increased utilization of certain resources. Emergency department utilization could also be affected by socioeconomic factors. The aim of this study was to ident...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Braun T,García Castrillo-Riesgo L,Krafft T,Díaz-Regañón Vilches G

    更新日期:2002-03-01 00:00:00

  • [The Spanish economic crisis and its consequences on social spending. SESPAS report 2014].

    abstract::This article offers a brief summary of the factors that the author believes should be considered when analyzing the multiple interrelations between the economic crisis and its effects on public finances, social spending, and the health and welfare of Spaniards. For the sake of brevity, a linear argument is followed, w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: López-Casasnovas G

    更新日期:2014-06-01 00:00:00

  • [Effectiveness of a programme based on a virtual reality game for cognitive enhancement in schizophrenia].

    abstract:OBJECTIVE:To evaluate the effectiveness of a programme based on a virtual reality game to improve cognitive domains in patients with schizophrenia. METHOD:A randomized controlled trial was conducted in 40 patients with schizophrenia, 20 in the experimental group and 20 in the control group. The experimental group rece...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,随机对照试验


    authors: López-Martín O,Segura Fragoso A,Rodríguez Hernández M,Dimbwadyo Terrer I,Polonio-López B

    更新日期:2016-03-01 00:00:00

  • [Differences in self-medication in the adult population in Spain according to country of origin].

    abstract:OBJECTIVES:To explore the factors determining self-medication among the Spanish adult population, paying special attention to differences in pharmaceutical consumption patterns between the immigrant and autochthonous populations in Spain. METHODS:Logistic regression models were used to evaluate the effect of several d...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Jiménez Rubio D,Hernández Quevedo C

    更新日期:2010-03-01 00:00:00

  • [Intimate partner violence: social and health determinants and responses].

    abstract::The present study aims to review the problem of intimate partner violence, as well as its causes and consequences. It will also specifically analyze the role of health professionals. In opposition to the classical epidemiological view of risk factors, Heise proposes an ecological framework to study violence against wo...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,评审


    authors: Ruiz-Pérez I,Blanco-Prieto P,Vives-Cases C

    更新日期:2004-01-01 00:00:00

  • [Municipal distribution of the incidence of the most common tumours in an area with high cancer mortality].

    abstract:OBJECTIVE:To describe the geographic distribution patterns of the municipal incidence of the most common tumours in the Huelva province (Spain) as compared to the estimated incidence for all of Spain. METHODS:Relative risk (RR) was computed based on the conditional autoregressive model proposed by Besag, York and Moll...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Viñas Casasola MJ,Fernández Navarro P,Fajardo Rivas ML,Gurucelain Raposo JL,Alguacil Ojeda J

    更新日期:2017-01-01 00:00:00

  • [Analysis of the most prevalent disorders in home-rehabilitation and physiotherapy units in the province of Almería (Spain)].

    abstract:OBJECTIVES:To describe the most prevalent disorders in 1753 patients referred to home rehabilitation and home physiotherapy units. METHOD:We carried out a cross-sectional descriptive study. The variables analyzed were age, gender, main diagnosis, functional capacity (Barthel Index), physiotherapeutic objectives, the t...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: López-Liria R,Padilla-Gógora D,Catalán-Matamoros DJ,Rocamora-Pérez P,Martínez-Cortés Mdel C,Rodríguez-Martín CR

    更新日期:2012-05-01 00:00:00

  • [The effects of implementing a smoking cessation intervention in Spain on morbidity, mortality and health care costs].

    abstract:OBJECTIVE:We estimated the effect that a smoking cessation intervention in the Spanish population of smokers would have on smoking-related morbidity, mortality and health care costs. METHODS:We adopted the model Health and Economic Consequences of Smoking sponsored by the WHO Health Organization and developed by the T...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: González-Enríquez J,Salvador-Llivina T,López-Nicolás A,Antón De Las Heras E,Musin A,Fernández E,García M,Schiaffino A,Pérez-Escolano I

    更新日期:2002-07-01 00:00:00

  • [Effect of psychosocial work environment and job satisfaction on burnout syndrome among specialist physicians].

    abstract:OBJECTIVES:To describe the prevalence of burnout syndrome according to medical specialty and to examine the impact of work psychosocial risk factors, job satisfaction and professional characteristics on burnout syndrome among specialist physicians throughout Spain. METHODS:A cross-sectional survey was carried out amon...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Escribà-Agüir V,Artazcoz L,Pérez-Hoyos S

    更新日期:2008-07-01 00:00:00

  • Misconduct as the main cause for retraction. A descriptive study of retracted publications and their authors.

    abstract:OBJECTIVE:To analyze the causes of retracted publications and the main characteristics of their authors. METHOD:A descriptive cross-sectional study was designed including all retracted publications from January 1st, 2013-December 31st, 2016 indexed in PubMed. The causes of retraction were classified as: data managemen...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Campos-Varela I,Ruano-Raviña A

    更新日期:2019-01-01 00:00:00

  • [Cost of therapy for neurodegenerative diseases. Applying an activity-based costing system].

    abstract:OBJECTIVE:To apply the activity based costing (ABC) model to calculate the cost of therapy for neurodegenerative disorders in order to improve hospital management and allocate resources more efficiently. METHOD:We used the case study method in the Francolí long-term care day center. We applied all phases of an ABC sys...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Sánchez-Rebull MV,Terceño Gómez A,Travé Bautista A

    更新日期:2013-09-01 00:00:00

  • [Prevalence of mental disorders in the general population of Catalonia. Team of the Health Survey of Catalonia].

    abstract:OBJECTIVE:The objective of the study is to estimate the prevalence of mental disorders in the general population of Catalonia. METHODS:Data comes from the Health Interview Survey of Catalonia (Enquesta de Salut de Catalunya, ESCA) and from an epidemiological study of Tres Cantos (Madrid). The General Health Questionna...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Rajmil L,Gispert Magarolas R,Roset Gamisans M,Muñoz Rodríguez PE,Segura Benedicto A

    更新日期:1998-07-01 00:00:00

  • Reduction of pharmaceutical expenditure by a drug appropriateness intervention in polymedicated elderly subjects in Catalonia (Spain).

    abstract:OBJECTIVE:To assess the monetary savings resulting from a pharmacist intervention on the appropriateness of prescribed drugs in community-dwelling polymedicated (≥8 drugs) elderly people (≥70 years). METHOD:An evaluation of pharmaceutical expenditure reduction was performed within a randomised, multicentre clinical tr...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Campins L,Serra-Prat M,Palomera E,Bolibar I,Martínez MÀ,Gallo P

    更新日期:2019-01-01 00:00:00

  • Access to sterile syringes among young drug injectors in Madrid and Barcelona and its association with risk behaviour.

    abstract:BACKGROUND AND OBJECTIVE:To evaluate access to sterile syringes and its association with injection risk behaviour in Madrid and Barcelona. MATERIALS AND METHODS:Cross-sectional community study by computer-assisted personal interview in 465 young heroin injectors between 2001 and 2003. RESULTS:Some 4.2% had not obtain...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Bravo MJ,Royuela L,Barrio G,Brugal MT,Domingo A,de la Fuente L,Itínere Project Group.

    更新日期:2008-03-01 00:00:00

  • [Opportunity for the integration of the gender perspective in health research and innovation in Europe: COST Network genderSTE].

    abstract::The European Commission supports several routes for incorporating the gender perspective. The Commission currently supports the new Horizon 2020 program, and also funds projects such as "gendered innovations", which show how gender innovations increase the quality of research and professional practice for health and w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Sánchez de Madariaga I,Ruiz Cantero MT

    更新日期:2014-09-01 00:00:00

  • [Prevalence of sleep disorders in Madrid, Spain].

    abstract:INTRODUCTION:Sleep disorders are among the clinical entities with a great health and socioeconomic impact. So far, in Spain there are isolated epidemiologic data, lacking from studies that cover the full spectrum of sleep disorders in the general adult population. METHODS:A sample of 1,500 adult subjects from Madrid w...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Vela-Bueno A,De Iceta M,Fernández C

    更新日期:1999-11-01 00:00:00

  • [Trade-off between formal and informal care in Europe].

    abstract:OBJECTIVE:To study the relationship between formal and informal care for the dependent population in a number of European countries. METHOD:Data from the Survey of Health, Aging and Retirement in Europe for 2004 were used and a bivariate probit model was estimated. Unlike other studies, the present analysis includes t...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Vilaplana Prieto C,Jiménez-Martín S,García Gómez P

    更新日期:2011-12-01 00:00:00

  • [Length of work disability and associated factors].

    abstract:OBJECTIVE:To estimate the mean length of temporary work disability (TD) and to assess some of its possible determinants. METHODS:During 1995, we registered 12,570 cases of TD among people from the Inspection Area of Alcala of Henares. We obtained a random sample of 600 cases. In addition to TD length, we obtained info...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Royo-Bordonada M

    更新日期:1999-05-01 00:00:00

  • [Assessment of the consensus document on food in educational centres to evaluate school menus].

    abstract:OBJECTIVE:To explore the applicability of the Consensus Document on School Food Programmes in Educational Centres (DCSECE) to evaluate the adaptation of school menus to healthy eating recommendations. METHOD:Transversal study that analyzes monthly school menus from 28 early-childhood education and primary education ce...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Gea-Sánchez M,Briones-Vozmediano E,Legido-Quigley H,Muntaner C,Rocaspana M,Blanco-Blanco J

    更新日期:2021-01-01 00:00:00

  • [Comprehensive care program for sexual violence victims in Escuintla, Guatemala].

    abstract::We implemented a comprehensive care program for sexual violence victims in six municipalities of Escuintla. Sexual violence victims received both medical and psychological care. Clinical and epidemiological information relevant to the sexual violence event was collected. Samples were taken for sexually transmitted inf...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Agustí C,Sabidó M,Guzmán K,Pedroza MI,Casabona J

    更新日期:2012-07-01 00:00:00

  • [The phenomenon of healthcare pluralism: a reality to be researched].

    abstract::Medical pluralism and the uses of Complementary and Alternative Medicine (CAM) are phenomena of increasing interest in the international arena. The aim of this chapter is to comment on Spanish studies dealing with medical pluralism and CAM. We have only a few scattered anthropological studies, and some data from surve...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Perdiguero E

    更新日期:2004-05-01 00:00:00

  • [Human resources and the health system in Brazil].

    abstract::This article discusses some questions related to human resources that act on Brazilian health system. At the beginning, it identifies the trends on health human resources in the last years. Then it shows on a brief discussion the health system reform, pointing out changes in the health model design through the impleme...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Machado MH,Pereira S

    更新日期:2002-01-01 00:00:00

  • Predictors of advanced disease and late presentation in new HIV diagnoses reported to the surveillance system in Spain.

    abstract:OBJECTIVE:To present surveillance data on advanced disease (AD) and late presentation (LP) of HIV in Spain and their determinants. METHODS:We included all new HIV diagnoses notified by the autonomous regions that consistently reported such cases throughout the period 2007-2011. Coverage was 54% of the total Spanish po...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Oliva J,Díez M,Galindo S,Cevallos C,Izquierdo A,Cereijo J,Arrillaga A,Nicolau A,Fernández A,Alvarez M,Castilla J,Martínez E,López I,Vivés N

    更新日期:2014-03-01 00:00:00

  • [The biomonitoring of toxic substances in biological samples of general population].

    abstract::Many of the world's most developed countries have adopted biomonitoring of toxic substances in order to ascertain their levels in biological samples. These substances get into the body through different environmental exposures. Monitoring toxic substances in biological samples should allow us to ascertain their levels...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Ibarluzea J,Aurrekoetxea JJ,Porta M,Sunyer J,Ballester F

    更新日期:2016-11-01 00:00:00

  • [Qualitative techniques for public health research and the development of health care services: more than just another technique].

    abstract::Regarding the debate on the existence of two current focuses on health science research (qualitative and quantitative), the paper states the need for complementing the techniques which contribute to a better knowledge of populations and communities, and the need for offering effective solutions to different problems. ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: March Cerdà JC,Prieto Rodríguez MA,Hernán García M,Solas Gaspar O

    更新日期:1999-07-01 00:00:00

  • [Medical prescription and informed consent for the use of physical restraints in nursing homes in the Canary Islands (Spain)].

    abstract:OBJECTIVE:To identify the frequency of completion of informed consent and medical prescription in the clinical records of older patients subject to physical restraint, and to analyse the association between patient characteristics and the absence of such documentation. METHODS:A cross-sectional and descriptive multice...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章,多中心研究


    authors: Estévez-Guerra GJ,Fariña-López E,Penelo E

    更新日期:2018-01-01 00:00:00

  • [Features and functions of environmental epidemiology].

    abstract::The interest of epidemiology in the environmental effects has grown up in recent years. The present paper discusses the role of environmental epidemiology based on a revision of the medical literature appeared in 1989, and on a review of the strategy in setting up standards. Different aspects of the exposure measure, ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Sunyer J

    更新日期:1990-07-01 00:00:00

  • Increased syphilis trend among patients in an AIDS information and prevention center.

    abstract:OBJECTIVE:A rebound of syphilis cases has recently been observed. This study describes the trend in syphilis infection among persons attending the AIDS information and prevention center of Valencia, Spain. METHODS:We performed a cohort study of all persons attended from 2000 to 2006. The calendar effect was assessed b...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Hurtado I,Alastrue I,Pavlou M,Tasa T,Pérez-Hoyos S

    更新日期:2011-09-01 00:00:00

  • [The advertising message of drugs advertisements in Spanish medical journals].

    abstract:OBJECTIVE:To describe the characteristics of advertising in Spanish medical journals and to analyze the advertising message in drug advertisements. METHODS:Six issues of 4 Spanish medical journals published in 2001 were reviewed to identify the number of advertisements and their characteristics. The journals selected ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Riera EJ,de la Fuente DO,Rodrígueza RM

    更新日期:2007-09-01 00:00:00

  • [Agreements and disagreements between community health and the Spanish health system. SESPAS Report 2018].

    abstract::In this article, we describe the different stages of the rise and decline of Primary Health Care and, in particular, its community approach; we do so by providing a historical journey of the relationship between the Spanish National Health System and community health, outlining the connections and disconnections with ...

    journal_title:Gaceta sanitaria

    pub_type: 杂志文章


    authors: Martínez Cía N,Pérez Pérez M,Heras-Mosteiro J,Gutiérrez Ávila G,Díaz-Olalla JM,Ruiz-Giménez Aguilar JL

    更新日期:2018-10-01 00:00:00