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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar el impacto de una intervenci&#243;n sobre la proporci&#243;n de estancias inapropiadas &#40;EI&#41;&#44; para contrastar la hip&#243;tesis de que una intervenci&#243;n sencilla de informaci&#243;n y participaci&#243;n &#40;adeQhos<span class="elsevierStyleSup">&#174;</span>&#41; permite reducir la proporci&#243;n de EI&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudio pre&#47;postintervenci&#243;n mediante el cuestionario &#171;adeQhos<span class="elsevierStyleSup">&#174;</span>&#187;&#44; que compara 2 grupos experimentales &#40;medicina&#44; cirug&#237;a&#41; y 2 grupos control &#40;otras especialidades m&#233;dicas&#44; cirug&#237;a ortop&#233;dica y traumatolog&#237;a&#41;&#44; en 10 hospitales de agudos de Catalu&#241;a&#46; Los mismos revisores evaluaron la adecuaci&#243;n mediante el Appropriateness Evaluation Protocol&#44; antes y despu&#233;s de la intervenci&#243;n&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se revisaron 1&#46;594 estancias antes de la intervenci&#243;n y 1&#46;495 despu&#233;s&#46; El 41&#44;1&#37; de todas las estancias revisadas &#40;d&#237;a previo al alta&#41; resultaron inapropiadas&#46; La intervenci&#243;n se realiz&#243; sobre 4&#46;613 estancias&#46; Hubo un incremento significativo de EI en el grupo control de medicina &#40;del 39&#44;7 al 48&#44;6&#37;&#41;&#44; mientras que en los grupos de intervenci&#243;n no se observ&#243; ninguna disminuci&#243;n &#40;en medicina del 46&#44;7 al 50&#44;6&#37;&#44; y en cirug&#237;a del 27&#44;2 al 31&#44;2&#37;&#41;&#46; Sin embargo&#44; la correlaci&#243;n entre la intensidad de la intervenci&#243;n y las diferencias de EI antes y despu&#233;s fue de r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;373 &#40;p<span class="elsevierStyleHsp" style=""></span>&#61; 0&#44;106&#41;&#46; La intensidad de la intervenci&#243;n fue desigual en los diferentes hospitales&#59; en los que presentaban una intensidad de intervenci&#243;n &#62; 60&#37; el porcentaje de EI disminuy&#243; 10&#44;7 puntos en medicina y 4&#44;8 en cirug&#237;a&#44; mientras que en los grupos control aument&#243;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La prevalencia de EI en el d&#237;a previo al alta en los hospitales estudiados fue considerablemente alta &#40;del 41&#44;1&#37;&#41;&#46; No se observ&#243; ninguna reducci&#243;n significativa de la inadecuaci&#243;n hospitalaria tras una intervenci&#243;n de baja intensidad&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p class="elsevierStyleSimplePara elsevierViewall">To assess the impact of an intervention on inappropriate hospital stays &#40;IHS&#41; in acute-care hospitals in Catalonia &#40;Spain&#41; with the aim of testing the hypothesis that a simple intervention &#40;adeQhos<span class="elsevierStyleSup">&#174;</span>&#41; reduces the proportion of IHS&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">A pre-test&#47;post-test study was performed through the &#171;adeQhos<span class="elsevierStyleSup">&#174;</span>&#187; questionnaire&#46; Two intervention groups &#40;internal medicine and general surgery&#41; and 2 control groups &#40;other medical specialities&#44; orthopedics&#41; were compared in 10 acute-care hospitals in Catalonia&#46; The same evaluators assessed appropriateness of hospital stays before and after the intervention&#44; using the Appropriateness Evaluation Protocol&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">A total of 1&#44;594 pre-test stays and 1&#44;495 post-test stays were reviewed&#46; Of all the stays reviewed &#40;day before discharge&#41;&#44; 41&#46;1&#37; were inappropriate&#46; The intervention was applied to 4&#44;613 stays&#46; There was a significant increase of IHS in the medicine control group &#40;from 39&#46;7 to 48&#46;6&#37;&#41;&#44; and no decrease in the intervention groups &#40;internal medicine &#91;from 46&#46;7 to 50&#46;6&#37;&#93; or general surgery &#91;from 27&#46;2 to 31&#46;2&#37;&#93;&#41;&#46; The correlation between the intensity of the intervention and the difference in IHS before and after the intervention was r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#46;373 &#40;p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;106&#41;&#46; The intensity of intervention differed among the hospitals&#46; In hospitals with an intensity of intervention &#62; 60&#37;&#44; the proportion of IHS decreased by 10&#46;7 points in internal medicine and by 4&#46;8 points in general surgery&#44; while the proportion of IHS increased in the control groups&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The prevalanece of IHS the day before discharge in the hospitals studied was high &#40;41&#46;1&#37;&#41;&#46; No significant decrease in IHS was observed after a low-intensity intervention&#46;</p>"
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