scholarly journals Differential characteristics of cases of patients diagnosed with pneumonia and delayed discharge for non‐clinical reasons in Northern Spain

2021 ◽  
Author(s):  
Amada Pellico‐López ◽  
Ana Fernández‐Feito ◽  
Paula Parás‐Bravo ◽  
Manuel Herrero‐Montes ◽  
Joaquín Cayón‐De las Cuevas ◽  
...  
Keyword(s):  
Northern Spain ◽  
Delayed Discharge

scholarly journals Delayed discharge for non-clinical reasons among stroke patients in a high-complexity hospital: A cross-sectional study

2021 ◽  
Author(s):  
Amada Pellico-López ◽  
Ana Fernández-Feito ◽  
David Cantarero ◽  
Manuel Herrero Montes ◽  
Joaquín Cayón- De las Cuevas ◽  
...  
Keyword(s):  
Patient Characteristics ◽  
Cross Sectional Study ◽  
Sudden Onset ◽  
Sectional Study ◽  
High Complexity ◽  
Northern Spain ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Delayed Discharge ◽  
Recovery Resources

Abstract Delayed discharge for non-clinical reasons (bed-blocking) is characteristic of pathologies associated with ageing, loss of functional capacity and dependence such as stroke. The aims of this study were to describe the costs and characteristics of cases of patients with stroke and delayed discharge for non-clinical reasons (bed-blocking) compared with cases of bed-blocking (BB) for other reasons and to assess the relationship between the length of total stay (LOS) with patient characteristics and the context of care. A descriptive cross-sectional study was conducted at a high complexity public hospital in Northern Spain (2007-2015). 443 stroke patients presented with BB. Delayed discharge increased LOS by approximately one week. The mean age was 80.22 years, significantly higher than in cases of BB for other reasons. Patients with stroke and BB are usually older patients, however, when younger patients are affected, their length of stay is longer in relation to the sudden onset of the problem and the lack of adequate functional recovery resources or residential facilities for intermediate care.

Cases of bed blockage in Northern Spain during 2010–2014: Delayed discharge from acute hospitalization to long-term care

2018 ◽  
Vol 66 ◽  
pp. S403
Author(s):  
A. Pellico López ◽  
M. Paz-Zulueta ◽  
A. Fernández-Feito ◽  
P. Parás-Bravo ◽  
M. Santibañez ◽  
...  
Keyword(s):  
Long Term Care ◽  
Northern Spain ◽  
Term Care ◽  
Acute Hospitalization ◽  
Delayed Discharge

scholarly journals Factors Associated with Bed-Blocking at a University Hospital (Cantabria, Spain) between 2007 and 2015: A Retrospective Observational Study

2019 ◽  
Vol 16 (18) ◽  
pp. 3304 ◽  
Author(s):  
Amada Pellico-López ◽  
David Cantarero ◽  
Ana Fernández-Feito ◽  
Paula Parás-Bravo ◽  
Joaquín Cayón de las Cuevas ◽  
...  
Keyword(s):  
Functional Ability ◽  
Service Use ◽  
Discharge Planning ◽  
Current System ◽  
Organizational Factors ◽  
University Hospital ◽  
Initial Increase ◽  
Northern Spain ◽  
Related Factors ◽  
Delayed Discharge

Current studies on bed-blocking or delayed discharge for non-medical reasons report important variations depending on the country or setting under study. Research on this subject is clearly important as the current system reveals major inefficiencies. Although there is some agreement on the patient-related factors that contribute to the phenomenon, such as older age or a lack of functional ability, there is greater variability regarding environmental or organizational factors. This study sought to quantify the number of cases and days inappropriately spent in hospital and identify patient characteristics and healthcare service use associated with the total length of stay. All cases of delayed discharge were studied at the hospitalization units of a general university hospital in Northern Spain between 2007 and 2015. According to regression estimates, the following characteristics were related to a longer stay: higher complexity through (Diagnosis-Related Group) DRG weight, a diagnosis that implied a lack of functional ability, surgical treatment, having to wait for a destination upon final discharge or return home. After an initial increase, a reduction in delayed discharge was observed, which was maintained for the duration of the study period. Multi-component interventions related with discharge planning can favor a reduced inefficiency with fewer unnecessary stays.

Phosphate and Sulfate Sorption in Spodosols with Albic Horizon from Northern Spain

2002 ◽  
Vol 66 (2) ◽  
pp. 464 ◽  
Author(s):  
M. Camps Arbestain ◽  
M. E. Barreal ◽  
F. Macías
Keyword(s):  
Northern Spain

scholarly journals Response of Wheat Storage Proteins and Breadmaking Quality to Dimethylpyrazole-Based Nitrification Inhibitors under Different Nitrogen Fertilization Splitting Strategies

Plants ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 703
Author(s):  
Ximena Huérfano ◽  
José-María Estavillo ◽  
Miren K. Duñabeitia ◽  
María-Begoña González-Moro ◽  
Carmen González-Murua ◽  
...  
Keyword(s):  
Grain Quality ◽  
Storage Proteins ◽  
Crop Productivity ◽  
Quality Parameters ◽  
Environmental Damage ◽  
Nitrification Inhibitors ◽  
Northern Spain ◽  
Dough Strength ◽  
Isomeric Mixture ◽  
Breadmaking Quality

Improving fertilizer nitrogen (N) use efficiency is essential to increase crop productivity and avoid environmental damage. This study was conducted during four crop cycles of winter wheat under humid Mediterranean conditions (Araba, northern Spain). The effects of N-fertilization splitting and the application of the nitrification inhibitors (NIs) 3,4-dimethylpyrazole phosphate (DMPP) and 2-(3,4-dimethyl-1H-pyrazol-1-yl) succinic acid isomeric mixture (DMPSA) as strategies to improve grain quality were examined. The hypothesis of this study was to test if the partial ammonium nutrition and the reduction of fertilizer losses presumably induced by the application of NIs can modify the grain gliadin and glutenin protein contents and the breadmaking quality (dough rheological properties). Among both NIs assayed, only DMPP showed a slight effect of decreasing the omega gliadin fraction, following splitting either two or three times, although this effect was dependent on the year and was not reflected in terms of dough extensibility. The slight decreases observed in grain quality in terms of dough strength and glutenin content induced by DMPP suggest that DMPSA is more promising in terms of maintaining grain quality. Nonetheless, these poor effects exerted by NI application on grain quality parameters did not lead to changes in the quality parameters defining the flour aptitudes for breadmaking.

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