Prevalencia de sarcopenia determinada por diferentes criterios diagnósticos en ancianos hospitalizados

2021 
espanolFundamentos: Ante la ausencia de una formacion especializada para trabajar de medico adjunto en los Servicios de Urgencias Hospitalarios espanoles, se busco describir la variabilidad de especialidades de los medicos adjuntos en estos servicios a nivel nacional, por Comunidades Autonomas y complejidad del hospital. Metodos: Se realizo un estudio descriptivo transversal a traves de una encuesta estructurada dirigida a los responsables de Servicios de Urgencias Hospitalarias publicos espanoles, de los que contestaron 65 entre enero del 2018 y septiembre del 2019. Se elaboro un analisis descriptivo y correlacional de las variables, asumiendo valores estadisticamente significativos aquellos con una p Resultados: Se describieron 1.706 medicos de urgencias, distribuidos en 29 especialidades diferentes, de los cuales 1.336 (78,31%) eran especialistas en Medicina de Familia y Comunitaria. Se encontraron diferente numero de especialidades entre Comunidades Autonomas y hospitales de distintas complejidades, y el 98,46% de los encuestados solicitaron una formacion especializada en Medicina de Urgencias y Emergencias. Se hallaron correlaciones directas entre la complejidad del hospital y el numero de especialidades en urgencias (r=0,2921, IC: 0,04445-0,5059) p Conclusiones: Se describieron medicos de 29 especialidades diferentes trabajando en urgencias. La variabilidad de especialidades diferia entre Comunidades Autonomas y hospitales de distinta complejidad. Los responsables de urgencias coincidian en la necesidad de una formacion especializada en Medicina de Urgencias y Emergencias. EnglishBackground: Giving the absence of specialized training to work as a physician in the Emergency Department in Spain, the aim of the study was to describe the variability of specialties in these departments nationally, by regions and hospital complexity. Methods: A descriptive cross-sectional study was carried out through a survey addressed to Emergency Chiefs of Spanish public hospitals, 65 of whom answered between January 2018 and September 2019. Descriptive and correlative analyzes of the variables were performed, assuming those with p Results: 1,706 emergency physicians of 29 different specialties were described, of which 1,336 (78.31%) were Family and Community Medicine specialists. Different number of specialties among regions and hospitals of different complexities were described. 98.46% of surveyed chiefs demanded specialized formation on Emergency Medicine. Direct correlations were found between the complexity of the hospital and the number of specialties in the Emergency Department (r=0.2921, CI: 0.04445-0.5059; p p p Conclusions: Physicians of 29 different specialties were described working in the Emergency Departments. The variability of specialties changed among regions and hospitals of different complexities. Heads of Emergency Departments agreed on the need for specialized formation on Emergency Medicine.
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