Evaluación del triaje realizado por enfermeras en el Servicio de Urgencias del Hospital Clínico Universitario «Lozano Blesa» (Zaragoza) / Evaluation of the triage performed by registered nurses in the Hospital Clínico Universitario «Lozano Blesa» Emergency service (Saragossa, Spain)

OBJETIVO: Evaluar la calidad y la adecuación del triaje realizado por enfermeras en el Servicio de Urgencias Hospitalarias (SUH) del Hospital Clínico Universitario de Zaragoza y comparar las características de las visitas «urgentes» y «no urgentes» detectadas. MÉTODO: Estudio descriptivo-retrospectivo de las visitas del último trimestre de 2015 (pediátricas, ginecológicas y tocológicas, y oftalmológicas excluidas) a partir de los datos del programa Puesto Clínico Hospitalario del SUH. La calidad del triaje realizado por enfermeras se evaluó con los 4 índices propuestos por Gómez Jiménez y la adecuación de la clasificación de los pacientes se estableció relacionando el nivel de triaje asignado con lugar de atención, tiempo de estancia en el SUH y tipo de alta. Se analizaron las diferencias entre las visitas «no urgentes» (atendidas en consultas ambulatorias del SUH) y las visitas «urgentes». RESULTADOS: Se incluyeron 22.047 individuos. Los índices de calidad relacionados con los tiempos de espera no se cumplen en su totalidad. Mayor gravedad de triaje se asocia con ser atendido en el área de Vital y Atención Médica, mayor tiempo de estancia en el SUH y mayor proporción de ingresos hospitalarios (p < 0,001) por lo que el triaje realizado por enfermeras se considera adecuado. Las visitas «no urgentes» obtienen menor gravedad de triaje, menor estancia en el SUH y mayor proporción de altas hospitalarias (p < 0,001). CONCLUSIONES: El triaje realizado por enfermeras necesita mejorar aspectos de calidad relacionados con los tiempos de espera pero es suficientemente correcto ya que discrimina lugar de atención y tipo de alta para cada nivel de triaje dentro de lo deseable

OBJECTIVE: To evaluate nurses' triage quality and adequacy in Saragossa's Hospital Clínico and to compare the main characteristics of "urgent" and "non-urgent" visits to the Hospital Emergency Department (HED). Method: This exploratory-retrospective research study was carried out over the last 3 months of 2015 (paediatrics, gynaecological and ophthalmologic emergencies were excluded). Data were obtained from the "Puesto Clínico Hospitalario" programme used in the HED. The quality of the triage performed by nurses was assessed using the 4 indexes proposed by Gómez Jimenez and the adequacy of patient classification was established by relating the level of triage assigned with the place of care, length of stay in the HED and type of discharge. Differences between "non-urgent" (seen in outpatient consultations of the HED) and "urgent" visits were analysed, RESULTS: 22,047 individuals were included. Quality indices relating to waiting times were not fully met. Higher severity of triage was associated with being attended in the area of Vital and Medical Care, a longer stay in the HED and a higher proportion of hospital admissions (p<.001), so that triage performed by nursing is considered adequate. "Non-urgent" visits obtained less severity of triage, a shorter stay in HED and a greater proportion of hospital discharges (p<.001). CONCLUSIONS: Nursing triage needs to improve quality aspects related to waiting times but is appropriate enough as it discriminates between place of care and type of discharge for each level of triage within the desirable limits

Evaluation of the triage performed by registered nurses in the Hospital Clínico Universitario «Lozano Blesa¼ Emergency service (Saragossa, Spain). / Evaluación del triaje realizado por enfermeras en el Servicio de Urgencias del Hospital Clínico Universitario «Lozano Blesa¼ (Zaragoza).

OBJECTIVE: To evaluate nurses' triage quality and adequacy in Saragossa's Hospital Clínico and to compare the main characteristics of "urgent" and "non-urgent" visits to the Hospital Emergency Department (HED). METHOD: This exploratory-retrospective research study was carried out over the last 3 months of 2015 (paediatrics, gynaecological and ophthalmologic emergencies were excluded). Data were obtained from the "Puesto Clínico Hospitalario" programme used in the HED. The quality of the triage performed by nurses was assessed using the 4 indexes proposed by Gómez Jimenez and the adequacy of patient classification was established by relating the level of triage assigned with the place of care, length of stay in the HED and type of discharge. Differences between "non-urgent" (seen in outpatient consultations of the HED) and "urgent" visits were analysed, RESULTS: 22,047 individuals were included. Quality indices relating to waiting times were not fully met. Higher severity of triage was associated with being attended in the area of Vital and Medical Care, a longer stay in the HED and a higher proportion of hospital admissions (p<.001), so that triage performed by nursing is considered adequate. "Non-urgent" visits obtained less severity of triage, a shorter stay in HED and a greater proportion of hospital discharges (p<.001). CONCLUSIONS: Nursing triage needs to improve quality aspects related to waiting times but is appropriate enough as it discriminates between place of care and type of discharge for each level of triage within the desirable limits.

Factores sociodemográficos asociados con el grado de adherencia al patrón de dieta mediterránea en personas mayores / Sociodemographic factors associated with adherence to the Mediterranean dietary pattern in elderly people

Objetivo. Evaluar el grado de adherencia al patrón de dieta mediterránea (DMedit) en personas mayores de 65 años en el ámbito rural y urbano de Comarca de la Hoya de Huesca e investigar si existen factores sociodemográficos relacionados con dicha adherencia. Material y métodos. Estudio exploratorio de tipo descriptivo transversal. Se utilizaron 2 cuestionarios: uno autoelaborado para datos sociodemográficos y el cuestionario validado PREDIMED para evaluar el grado de adherencia a la DMedit. Se recogieron 240 encuestas, previo consentimiento informado, durante 2 semanas consecutivas, en marzo del 2014. Resultados. El promedio de edad fue 74±6,8 años, con igual proporción de ámbito rural y urbano y de ambos sexos. Ambas poblaciones presentaron una adherencia al patrón de DMedit similar, con un score global medio de 9 en una escala de 0 a 14. Además, se observó la influencia de algunos factores sociodemográficos en el grado de adherencia a la DMedit, tales como el poder adquisitivo o la presencia de enfermedades crónicas relacionadas con la dieta. Conclusiones. La población urbana y rural de la Hoya de Huesca parece tener una buena adherencia a la DMedit, aunque existen algunos factores económicos y de salud que podrían modificarla (AU)

Objective. To assess the level of adherence to the Mediterranean dietary pattern (DMedit) in people over 65 in rural and urban areas of the region of Hoya de Huesca (Spain) and investigate whether there are sociodemographic factors related to that adherence. Material and methods. Exploratory cross-sectional study. Two questionnaires were used: one self-made for sociodemographic factors, and the PREDIMED validated questionnaire to assess the level of adherence to the DMedit. After prior informed consent, a total of 240 questionnaires were collected over a period of 2 consecutive weeks in March 2014. Results. The mean age was 74±6.8 years, with an equal proportion of rural and urban areas and both sexes. Both populations showed a similar adherence pattern to Dmedit, with an average overall score of 9 on a scale of 0 to 14. Furthermore, the influence of sociodemographic factors was observed on the level of adherence to the Dmedit, such as purchasing power or presence of chronic diet-related diseases. Conclusions. The urban and rural population of the Hoya de Huesca seems to have a good adherence to the Dmedit, although some economic and health factors could modify it (AU)

[Sociodemographic factors associated with adherence to the Mediterranean dietary pattern in elderly people]. / Factores sociodemográficos asociados con el grado de adherencia al patrón de dieta mediterránea en personas mayores.

OBJECTIVE: To assess the level of adherence to the Mediterranean dietary pattern (DMedit) in people over 65 in rural and urban areas of the region of Hoya de Huesca (Spain) and investigate whether there are sociodemographic factors related to that adherence. MATERIAL AND METHODS: Exploratory cross-sectional study. Two questionnaires were used: one self-made for sociodemographic factors, and the PREDIMED validated questionnaire to assess the level of adherence to the DMedit. After prior informed consent, a total of 240 questionnaires were collected over a period of 2 consecutive weeks in March 2014. RESULTS: The mean age was 74±6.8 years, with an equal proportion of rural and urban areas and both sexes. Both populations showed a similar adherence pattern to Dmedit, with an average overall score of 9 on a scale of 0 to 14. Furthermore, the influence of sociodemographic factors was observed on the level of adherence to the Dmedit, such as purchasing power or presence of chronic diet-related diseases. CONCLUSIONS: The urban and rural population of the Hoya de Huesca seems to have a good adherence to the Dmedit, although some economic and health factors could modify it.