%0 Journal Article
%T Diagn車sticos cl赤nicos al ingreso y al egreso de pacientes hospitalizados en Medicina Interna, Geriatr赤a e Infecciosos Clinical diagnoses in admission and in discharge of patients admitted to Internal Medicine, Geriatrics and Infection wards
%A Alfredo D Espinosa Brito
%A Benigno Figueiras Ramos
%A Juan D Rivero Berovides
%A Luis G del Sol Padr車n
%J Revista Cubana de Medicina
%D 2010
%I ECIMED
%X A partir de asumir que una coincidencia entre el diagn車stico inicial al ingreso y el definitivo al egreso, refleja alta calidad en el cumplimiento de ese paso esencial del m谷todo cl赤nico, se revisaron los resultados de dos series de pacientes hospitalizados en Medicina Interna, Geriatr赤a e Infecciosos, para precisar factores asociados con dicha correspondencia. Se constat車 total coincidencia en m芍s de las dos terceras partes de los casos, con porcentajes elevados en los m芍s j車venes, los que tuvieron menor estad赤a y los que ingresaron en el horario de las guardias. Se destacan los altos valores para enfermedades respiratorias e infecciosas y m芍s bajos para diagn車sticos menos precisos, como anemias, s赤ntomas y signos mal definidos y para los ingresados en Geriatr赤a. Se hacen consideraciones sobre el error diagn車stico y la trascendencia de estos resultados para los pacientes y la organizaci車n de la atenci車n hospitalaria. The assumption that there is a coincidence between the initial diagnosis at admission and the definite at discharge reflects a high quality in fulfillment of this essential step of clinical method. Results from two series of patients admitted in Internal Medicine, Geriatrics and infectiuos diseases departments were reviewed to specify exactly the factors associated with such correspondence. Authors verified the total coincidence in more than the two third of cases with high percentages in younger, which had a minor stage and those admitted in the medical duty times. Emphasized are the higher values for the respiratory and infectious diseases and lower for fewer accurate diagnoses including anemias, ill-defined symptoms and signs and for those admitted in Geriatrics department. We took into account on the diagnostic error and the importance of these results for patients and the organization of hospital care.
%K Diagn車stico
%K error diagn車stico
%K pacientes hospitalizados
%K ingreso-egreso
%K Diagnosis
%K diagnostic error
%K admitted patients
%K admission-discharge
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232010000200004