[Medicine wards of Local Health Authority 18 of Rovigo - Prospective Survey]. / Score (BRASS) nei reparti di Geriatria e Medicina dell'Azienda Ulss 18 di Rovigo - Studio prospettico.

ABSTRACT

AIM: The primary objective of the study is to measure the phenomenon of the difficult discharge through the implementation and use of a validated instrument that can support later the nurse in planning the discharge of patients hospitalized in the departments of Medi- cine and Geriatrics. SECONDARY OBJECTIVES: - Experience using the index of BRASS - To study the characteristics of the population at risk of difficult discharge METHOD: prospective observational study to measure the phenomenon of the difficult discharge through the implementation of the index of BRASS in the Medicine and Geriatrics wards of Hospital of Rovigo Ulss 18, in order to study the characteristics of the population at risk of discharge difficult. RESULTS: In a sample of 165 patients, 42.4% (70) respectively at risk was high and medium discharge difficult, while 15.2% (25) were at low risk. The average score was 18.76 BRASS. 37.6% of high-risk patients were hospitalized in Geriatrics, while in Medicine patients are more concentrated in the middle class risk. CONCLUSIONS: The study made it possible to measure the phenomenon of the difficult discharge classifying patients into risk groups. The analysis of the resignation protected revealed the congruence between score BRASS and sample characteristics. The instrument does not require long compile times, is to support decision-making because of the nurse notes the need to create a structured on the discharge of the patient, in a systematic and planned, avoi- ding the dispersion of important information to the right to ensure continuity welfare.