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[A data base of a thoracic and cardiovascular department: information on 1001 patients]

Tatiana Tonella1, Ferdinando Maria Massari, Sonia Khirani

  • 1Unità Opearativa de Medicina Cardiovasculare, Dipartimento Toraco-Polmonare e Cardiocircolatorio, Fondazino Ospedale Maggiore Policlinico, mangiagalli e Regina Elena, Università di Milano.

Recenti Progressi in Medicina
|July 25, 2012
PubMed

Insights

This study of 1001 patients in a thoracic and cardiovascular department found that many admissions were unrelated to the department's specialty. The typical patient was elderly, overweight, and on multiple medications, highlighting a need for better care rationalization.

Area of Science:

  • Cardiovascular Medicine
  • Thoracic Surgery
  • Health Services Research

Context:

  • Analysis of a 1001-patient database from a thoracic and cardiovascular department.
  • Identified patient demographics and hospitalization reasons.
  • Evaluated medication management pre- and post-hospitalization.

Purpose:

  • To characterize the patient population admitted to a thoracic and cardiovascular department.
  • To assess the appropriateness of admissions based on departmental expertise.
  • To analyze medication patterns and identify opportunities for rationalization.

Summary:

  • The typical patient profile includes elderly individuals (73% >65 years), often overweight or obese (35% BMI >25), and with lower educational attainment (70% not completing middle school).
  • A significant portion of admissions (27.5%) were unrelated to the department's core expertise.
  • Patients were frequently discharged with an increased number of prescribed medications compared to pre-admission poly-therapy.

Impact:

  • Highlights potential inefficiencies in patient admission and referral processes.
  • Suggests a need for improved medication management strategies for elderly and complex patients.
  • Demonstrates the utility of departmental databases for monitoring activity and optimizing pharmacological therapies.

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