Factores de morbilidad asociados a la estancia hospitalaria prolongada en los servicios de urología, ginecología y medicina interna. 2012 – 2016

Abstract

Introduction: hospital stay is a management indicator that measures the degree of use of the bed, the resources invested, as well as the effectiveness of the services provided. Objective: analyze the morbidity factors associated with prolonged hospital stay in the Urology, Gynecology and Internal Medicine departments of the Autonomous Institute Hospital Universitario de Los Andes, Mérida, Venezuela, 2012-2016. Methodology: quantitative approach, explanatory type, documentary design and transversal, retrospective temporality. The sample was made up of 362 medical records of hospital discharges. The technique used was the documentary review and the instrument a registration matrix. Results: the three specialties reflected an average stay well above the norm, 33,38 days in Internal Medicine, 33,50 in Urology and 28,22 in Gynecology. Of the morbidity factors, the diagnoses that prolonged the stay the most were: skin and soft tissue starting point sepsis in Internal Medicine (68,93 days), cystocele in Gynecology (43,00) and renal lithiasis in Urology (37,58). Complications during hospitalization turned out to be the factor that affected the most the mean stay; observing significant differences in the three services: Urology p (0,000), Internal Medicine p (0,006) and Gynecology p (0,033). Conclusion: morbidity factors influence the prolonged hospital stay of the Urology, Gynecology and Internal Medicine departments.