What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?

To analyze the relationship between the appearance of adverse events (AEs) and both patient comorbidities and the use of medical devices. Retrospective medical records review study. Twenty-four Spanish public hospitals. Clinical records of 5624 discharged patients. Incidence of AEs. Patients aged 65...

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Autores: Aranaz-Andres, JM, Limon, R, Mira, JJ, Aibar, C, Gea, MT, Agra, Y
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14463
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14463
Access Level:acceso abierto
Palabra clave:patient safety
adverse events
medical errors
quality of care
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spelling What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?Aranaz-Andres, JMLimon, RMira, JJAibar, CGea, MTAgra, Ypatient safetyadverse eventsmedical errorsquality of careTo analyze the relationship between the appearance of adverse events (AEs) and both patient comorbidities and the use of medical devices. Retrospective medical records review study. Twenty-four Spanish public hospitals. Clinical records of 5624 discharged patients. Incidence of AEs. Patients aged 65 have 2.4 times the risk of experiencing an AE compared with those aged 65. The presence of certain comorbidities and devices (neoplasia, chronic hepatic alteration, cardiac insufficiency, coronary disease, high blood pressure, urethral catheterization, catheterization of a vessel, tracheostomy or stay of 7 days) were associated with developing an AE during hospitalization. There is a trend effect if we consider the number of comorbidities and the number of devices used. Thus, the risk of an AE in subjects who present no comorbidities was 3.2, which rose to 9.9 in those with one intrinsic risk factor, 16.7 in those with two and 29.3 in those with three or more. Similarly, subjects without extrinsic risk factor experienced an AE in 4.4 of cases, which rose to 9.6 when there was one risk factor, to 13.4 when there were two and to 33.0 when there were three or more risk factors. The effect of some of these pathologies and that associated with age disappeared on adjusting in line with other variables. The true risk resides in the number of exposures to potentially iatrogenic actions, rather than being intrinsic to age or the presence of certain comorbidities.OXFORD UNIV PRESS2011info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/14463INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CAREISSN: 13534505ISSNe: 14643677reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p144632026-06-11T12:45:17Z
dc.title.none.fl_str_mv What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
title What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
spellingShingle What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
Aranaz-Andres, JM
patient safety
adverse events
medical errors
quality of care
title_short What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
title_full What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
title_fullStr What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
title_full_unstemmed What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
title_sort What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event?
dc.creator.none.fl_str_mv Aranaz-Andres, JM
Limon, R
Mira, JJ
Aibar, C
Gea, MT
Agra, Y
author Aranaz-Andres, JM
author_facet Aranaz-Andres, JM
Limon, R
Mira, JJ
Aibar, C
Gea, MT
Agra, Y
author_role author
author2 Limon, R
Mira, JJ
Aibar, C
Gea, MT
Agra, Y
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv patient safety
adverse events
medical errors
quality of care
topic patient safety
adverse events
medical errors
quality of care
description To analyze the relationship between the appearance of adverse events (AEs) and both patient comorbidities and the use of medical devices. Retrospective medical records review study. Twenty-four Spanish public hospitals. Clinical records of 5624 discharged patients. Incidence of AEs. Patients aged 65 have 2.4 times the risk of experiencing an AE compared with those aged 65. The presence of certain comorbidities and devices (neoplasia, chronic hepatic alteration, cardiac insufficiency, coronary disease, high blood pressure, urethral catheterization, catheterization of a vessel, tracheostomy or stay of 7 days) were associated with developing an AE during hospitalization. There is a trend effect if we consider the number of comorbidities and the number of devices used. Thus, the risk of an AE in subjects who present no comorbidities was 3.2, which rose to 9.9 in those with one intrinsic risk factor, 16.7 in those with two and 29.3 in those with three or more. Similarly, subjects without extrinsic risk factor experienced an AE in 4.4 of cases, which rose to 9.6 when there was one risk factor, to 13.4 when there were two and to 33.0 when there were three or more risk factors. The effect of some of these pathologies and that associated with age disappeared on adjusting in line with other variables. The true risk resides in the number of exposures to potentially iatrogenic actions, rather than being intrinsic to age or the presence of certain comorbidities.
publishDate 2011
dc.date.none.fl_str_mv 2011
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/14463
url https://fisabio.portalinvestigacion.com/publicaciones/14463
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv OXFORD UNIV PRESS
publisher.none.fl_str_mv OXFORD UNIV PRESS
dc.source.none.fl_str_mv INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
ISSN: 13534505
ISSNe: 14643677
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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