{"id":117806,"date":"2015-06-07T00:00:00","date_gmt":"2015-06-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/las-urgencias-psquiatricas-hospitalarias-analisis-del-contexto-cla%c2%adnico-sociodemografico-y-economico\/"},"modified":"2015-06-07T00:00:00","modified_gmt":"2015-06-07T00:00:00","slug":"las-urgencias-psquiatricas-hospitalarias-analisis-del-contexto-cla%c2%adnico-sociodemografico-y-economico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/psiquiatria\/las-urgencias-psquiatricas-hospitalarias-analisis-del-contexto-cla%c2%adnico-sociodemografico-y-economico\/","title":{"rendered":"Las urgencias psqui\u00e1tricas hospitalarias: an\u00e1lisis del contexto cl\u00ednico, sociodemogr\u00e1fico y econ\u00f3mico"},"content":{"rendered":"

Tesis doctoral de Luis Miguel Toledo Mu\u00f1oz <\/strong><\/h2>\n

Introduccion los trastornos mentales y del comportamiento constituyen la octava causa de muerte en espa\u00f1a, siendo causantes de forma directa del 3,2% de las defunciones totales. En las mujeres alcanza el 4,4% del total de las defunciones y se sit\u00faa como sexta causa de muerte. Entre los varones constituyen la d\u00e9cima causa de muerte y suponen el 2,1% de las defunciones totales. El estudio de la evoluci\u00f3n del n\u00famero de altas hospitalarias con diagn\u00f3stico principal "trastorno mental" indica que existe una creciente demanda asistencial, habiendo experimentado un crecimiento del 8,81% en el per\u00edodo 2002-2012. objetivos el general fue analizar el impacto cl\u00ednico, sociodemogr\u00e1fico y econ\u00f3mico de las urgencias psiqui\u00e1tricas en un hospital secundario. los espec\u00edficos fueron: – conocer la preValencia de las urgencias psiqui\u00e1tricas y su relaci\u00f3n con las m\u00e9dico-quir\u00fargicas, analizando el perfil sociodemografico de los pacientes. – analizar la frecuencia de las patolog\u00edas psiqui\u00e1tricas, los canales de remisi\u00f3n del paciente y las asociaciones con variables sociodemogr\u00e1ficas y cl\u00ednicas del paciente. – conocer los tratamientos farmacol\u00f3gicos que reciben, as\u00ed como las pruebas complementarias, porcentaje de ingresos, voluntariedad de los mismos y la utilizaci\u00f3n de contenci\u00f3n mec\u00e1nica y su relaci\u00f3n con las caracter\u00edsticas sociodemogr\u00e1ficas y cl\u00ednicas de los pacientes. – analizar los factores asociados al ingreso hospitalario en planta de psiquiatr\u00eda y a la utilizaci\u00f3n de la contenci\u00f3n mec\u00e1nica en pacientes psiqui\u00e1tricos hospitalarios. – determinar el gasto sanitario que implica la atenci\u00f3n urgente psiqui\u00e1trica hospitalaria de los enfermos mentales y evaluar los factores asociados al impacto econ\u00f3mico de dichas urgencias. material y metodos\t es un estudio observacional, descriptivo, longitudinal y prospectivo. La poblaci\u00f3n de nuestro estudio fueron los pacientes que acuden a urgencias psiqui\u00e1tricas del hospital general b\u00e1sico de la defensa de cartagena (murcia) durante el per\u00edodo comprendido del 1 de noviembre de 2011 al 30 de junio de 2012. La muestra est\u00e1 compuesta por 391 pacientes que suponen el 26% del total de las asistencias psiqui\u00e1tricas que se realizaron en el servicio de urgencias durante dicho per\u00edodo. Se dise\u00f1\u00f3 una hoja de recogida de datos con 39 \u00edtems, en la cual se recogen variables sociodemogr\u00e1ficas, procedencia de los pacientes, as\u00ed como los datos referentes a la patolog\u00eda org\u00e1nica\/psiqui\u00e1trica y a los procedimientos tanto diagn\u00f3sticos\/terap\u00e9uticos a que son sometidos. conclusiones – las urgencias psiqui\u00e1tricas supusieron el 1.5% del total de urgencias, presentando el 40% de los pacientes patolog\u00eda org\u00e1nica asociada, por lo que se debe englobar con las urgencias m\u00e9dico-quir\u00fargicas. – el perfil sociodemogr\u00e1fico del paciente es una mujer que consulta entre las 12.00-18.00 horas en d\u00eda laborable, con una edad entre 26-40 a\u00f1os, acude por voluntad propia, con estudios primarios, desempleada y casada. – el 80% de los pacientes llevan tratamiento del centro de salud mental, siendo las alteraciones de la conducta el motivo de consulta m\u00e1s frecuente. – los pacientes inmigrantes padecen cuadros psiqui\u00e1tricos mas graves, consumen m\u00e1s sustancias de abuso y no suelen llevar tratamiento pautado. – el consumo de t\u00f3xicos supuso el 32% de la demanda asistencial, fundamentalmente el alcohol. Los consumidores consultaron m\u00e1s en d\u00edas laborables, entre las 06.00 y las 12.00 y ten\u00edan ingresos previos en el 50% de los casos. – los factores relacionados con ingreso en planta son: la psicosis, la remisi\u00f3n del paciente, ingresos previos y necesidad de pruebas complementarias. – el 12% de los pacientes necesitaron contenci\u00f3n mec\u00e1nica, siendo los factores relacionados : remisi\u00f3n por servicios de emergencia, agitaci\u00f3n psicomotriz, pruebas complementarias e ingresos previos. – el gasto sanitario medio por urgencia fue aproximadamente de 400\u00c2\u00bf (rango 85-2700\u00c2\u00bf). El 25% de las urgencias supusieron un gasto superior a 500\u00c2\u00bf. – los servicios de emergencia son determinantes para la decisi\u00f3n de ingreso hospitalario, exploraciones complementarias, contenci\u00f3n mec\u00e1nica y valoraci\u00f3n som\u00e1tica incrementado el gasto sanitario. introduction \tmental and behavioral disorders are the eighth leading cause of death in spain, being directly cause 3.2% of all deaths. In women it reached 4.4% of all deaths and is ranked as the sixth leading cause of death. Among males are the tenth leading cause of death and account for 2.1% of total deaths. The study of the evolution of the number of hospital discharges with a diagnosis "mental disorder" indicates that there is a growing demand for care, having grown by 8.81% over the period 2002-2012. objectives the general was to analyze the clinical, demographic and economic impact of psychiatric emergencies in a secondary hospital. specific were: – to know the prevalence of psychiatric emergencies and their relationship with the medical-surgical, analyzing the demographic profile of patients – to analyze the frequency of psychiatric disorders, the patient referral channels and associations with sociodemographic and clinical patient. – to know the drug treatments they receive, as well as complementary tests, percentage of revenue, voluntary thereof and the use of mechanical restraint and its relationship to sociodemographic and clinical characteristics of patients. – to analyze the factors associated with hospitalization in psychiatric ward and the use of physical restraint in psychiatric hospital patients. – determine health expenditure involving urgent psychiatric hospital care for mental patients and assess factors associated with the economic impact of such emergencies. material and methods it is an observational, descriptive, longitudinal and prospective study. The populations of our study were patients who come to emergency psychiatric basic general hospital of the defense of cartagena (murcia) during the period from november 1, 2011 to june 30, 2012. The sample period is composed of 391 patients account for 26% of all psychiatric assistance that were made to the emergency department during that period. A data collection sheet with 39 items, which sociodemographic, origin of the patients as well as data on the organic \/ psychiatric disorders and procedures both diagnostic \/ therapeutic to undergo collected was designed. conclusions – the psychiatric emergencies accounted for 1.5% of total emergency, presenting 40% of patients associated organic disease, so it should cover the medical-surgical emergencies. – the demographic profile of the patient is a woman consultation between 12.00-18.00 hours on weekdays, aged between 26-40 years, he goes willingly, with primary education, unemployed and married. – the 80% of patients take treatment of mental health center, being the behavioral disorders the most frequent reason for consultation. – the immigrant patients with the most severe psychiatric conditions consume more drugs of abuse and rarely take prescribed treatment. – the drug consumption accounted for 32% of the demand for care, mainly alcohol. Consumers consulted more on weekdays, between 0600 and 1200 and had previous admissions in 50% of cases. – the factors related to income plan are: psychosis, patient referral, previous earnings and need for additional tests. – the 12% of patients required mechanical restraint, being related factors: referral for emergency services, psychomotor agitation, additional tests and previous admissions. – the average health expenditure for urgency was about 400 \u00c2\u00bf (range 85-2700 \u00c2\u00bf). 25% of emergencies accounted for more than 500 \u00c2\u00bf spending. – the emergency services are crucial to the decision of admission, complementary examinations, mechanical containment and somatic health spending increased valuation.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abLas urgencias psqui\u00e1tricas hospitalarias: an\u00e1lisis del contexto cl\u00ednico, sociodemogr\u00e1fico y econ\u00f3mico<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Las urgencias psqui\u00e1tricas hospitalarias: an\u00e1lisis del contexto cl\u00ednico, sociodemogr\u00e1fico y econ\u00f3mico <\/li>\n
  • Autor:<\/strong>\u00a0 Luis Miguel Toledo Mu\u00f1oz <\/li>\n
  • Universidad:<\/strong>\u00a0 Murcia<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 06\/07\/2015<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Mar\u00eda Dolores Perez Carceles<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: julio belarmino Bobes garcia <\/li>\n
        • pere Llorens soriano (vocal)<\/li>\n
        • Francisco fermin Toledo romero (vocal)<\/li>\n
        • Jes\u00fas enrique Mesones peral (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Luis Miguel Toledo Mu\u00f1oz Introduccion los trastornos mentales y del comportamiento constituyen la octava causa de muerte […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[8235,1408,36711],"tags":[231941,85350,8332,231940,42642,207505],"class_list":["post-117806","post","type-post","status-publish","format-standard","hentry","category-murcia","category-psiquiatria","category-servicios-sanitarios","tag-francisco-fermin-toledo-romero","tag-jesus-enrique-mesones-peral","tag-julio-belarmino-bobes-garcia","tag-luis-miguel-toledo-munoz","tag-maria-dolores-perez-carceles","tag-pere-llorens-soriano"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=117806"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/117806\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=117806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=117806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=117806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}