Accepted for/Published in: Interactive Journal of Medical Research
Date Submitted: Jul 12, 2024
Date Accepted: Oct 28, 2024
Patient Profile and Cost Savings of Long-Term Care in a Spanish Hospital: A retrospective observational study
ABSTRACT
Background:
Chronic and Long-Term Care Hospitals (HACLES) emerged in Spain in the 1980s as a response to the aging population and the increase in chronic diseases.
Objective:
This study analyzes the profile of patients treated in a HACLES.
Methods:
A retrospective study based on data from patients over 65 years old admitted to the HACLES between 2022 and 2023. Data coded in Abucasis were reviewed, and descriptive statistics and comparison tests were employed
Results:
Data from 123 patients were analyzed with a mean age of 77 years. Most had a cohabiting family member as their primary caregiver. Palliative care was the most frequent reason for admission. The mortality rate (61.8 95% CI 53.2-70.5) was similar between men and women (p=0.233). Scores on the Barthel (p=0.0446) and Pfeiffer (p=0.047) scales improved at discharge. The length of stay was significantly shorter for patients who returned home (p<0.001). The direct cost savings were estimated at €39,381,616 per 1,000 admissions.
Conclusions:
This study provides relevant information about the profile and outcomes of patients treated in a HACLES, highlighting the importance of adapting care to the individual needs of the admitted patients. The HACLES contributes to the sustainability of the public health system.
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