Muerte tras el alta de urgencias

Muerte tras el alta de urgencias

16-4-2024 | Òscar Miró
The editorial discusses an article by Maestre-Orozco et al. published in EMERGENCIAS, which focuses on deaths occurring in patients' homes after being discharged from the emergency department. Unlike typical scientific articles that present research findings or reviews, this article calls for reflection on a critical issue in emergency medicine: patients dying at home shortly after discharge. The article highlights the importance of identifying system failures that contribute to such events, as these deaths are significant indicators of healthcare quality. While emergency departments commonly see patient deaths, most occur in hospitals, not at home. However, the study by Maestre-Orozco et al. specifically examines deaths in the home, finding a low rate of 0.03% within 7 days and 0.08% within 30 days. These rates are much lower than those reported in other studies, such as in the U.S., where the rate is higher. The study's limited scope, focusing on a single hospital in Spain, restricts its generalizability. The authors emphasize the need for further research to understand and prevent unexpected deaths after emergency discharge. They also stress the importance of a well-coordinated healthcare system, where primary care and specialists play a key role in following up with patients after discharge. The editorial concludes that while the study is a significant first step, more research is needed to improve patient safety and reduce adverse outcomes after emergency department discharge.The editorial discusses an article by Maestre-Orozco et al. published in EMERGENCIAS, which focuses on deaths occurring in patients' homes after being discharged from the emergency department. Unlike typical scientific articles that present research findings or reviews, this article calls for reflection on a critical issue in emergency medicine: patients dying at home shortly after discharge. The article highlights the importance of identifying system failures that contribute to such events, as these deaths are significant indicators of healthcare quality. While emergency departments commonly see patient deaths, most occur in hospitals, not at home. However, the study by Maestre-Orozco et al. specifically examines deaths in the home, finding a low rate of 0.03% within 7 days and 0.08% within 30 days. These rates are much lower than those reported in other studies, such as in the U.S., where the rate is higher. The study's limited scope, focusing on a single hospital in Spain, restricts its generalizability. The authors emphasize the need for further research to understand and prevent unexpected deaths after emergency discharge. They also stress the importance of a well-coordinated healthcare system, where primary care and specialists play a key role in following up with patients after discharge. The editorial concludes that while the study is a significant first step, more research is needed to improve patient safety and reduce adverse outcomes after emergency department discharge.
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