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Effectiveness of the brass index in discharge Planning by case management nurses.

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Title: Effectiveness of the brass index in discharge Planning by case management nurses.
Alternate Title: Efectividad del índice de Brass en la planificación del alta por enfermeras gestoras de casos.
Authors: Álvarez, Concepción Cruzado1 ccruzadoalvarez@gmail.com, López, Javier Barón2, Romero, Lourdes Padilla3, Toro, M. Victoria Requena3, Salvador, Esperanza Martín3, Gil, Isabel Morales2
Source: Enfermería Global. oct2018, Vol. 17 Issue 4, p500-511. 12p.
Subjects: DISCHARGE planning, PATIENT management, HOSPITAL admission & discharge, MEDICAL protocols, RISK assessment
Abstract (English): Classifying patients according to complexity and frailty during hospitalization allows efficient planning of the scope of care required by the patient at discharge. The aim of this study was to measure the screening validity of the Blaylock Risk Assessment Screening Score and its effectiveness in discharge planning. Methods:In 370 patients we analyzed the variables hospital stay, destination at discharge, use of healthcare resources and mortality. Results: Analysis of the relationship between mortality and the BRASS-Sp index with regard to gender and number of days of stay yielded a hazard ratio of 1.73 (95% CI 1.22-2.46; p=0.002) for male gender and 2.08 (95% CI 1.43-3.04; p<0.001) for the BRASS-Sp score. Patients who continued in case management in Primary Care had a mean BRASS-Sp of 20.97 (standard deviation 6.11), while in the other patients the mean was 19.35 (standard deviation 5.60), p=0.02. Conclusions: The BRASS-Sp proved easy-to-use with verified content validity that is effective for screening hospitalized patients by case management nurses. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Estratificar a los pacientes en relación con la complejidad y fragilidad durante la hospitalización, nos permite planificar de manera más eficiente los cuidados y el ámbito de atención que precisa al alta. El objetivo de este trabajo es evaluar la efectividad de la traducción al español de índice de BRASS en la planificación del alta hospitalaria por enfermeras gestoras de casos de atención hospitalaria. Método: En 370 pacientes. Se analizaron variables relacionadas con la estancia hospitalaria, destino al alta, utilización de recursos sanitarios y mortalidad. Resultados: La edad media fue 72.6 años (DE 14.05), 191 (51.6%) eran mujeres. Cuando analizamos la relación entre mortalidad e índice de BRASS-Sp en relación al sexo y número de días de ingreso encontramos una HR=1.73 (95% CI de 1.22 a 2.46) con una p=0.002 para sexo masculino y una HR=2.08 (95% CI 1.43 a 3.04) con una p<0.001 para puntuación del índice de BRASS_Sp. Los pacientes que continuaron en gestión de casos en Atención Primaria obtuvieron una media del BRASS-Sp de 20.97 (DE 6.11) mientras que en los demás fue de 19.35 (DE 5.60), p=0.02. Conclusiones: la traducción al español del índice de BRASS se muestra como un instrumento fácil de usar, y con validez de contenido y efectividad para cribado de pacientes hospitalizados por enfermeras gestoras de casos. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería Global is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Effectiveness of the brass index in discharge Planning by case management nurses.
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  Data: Efectividad del &#237;ndice de Brass en la planificaci&#243;n del alta por enfermeras gestoras de casos.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22&#193;lvarez%2C+Concepci&#243;n+Cruzado%22&quot;&gt;&#193;lvarez, Concepci&#243;n Cruzado&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; ccruzadoalvarez@gmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22L&#243;pez%2C+Javier+Bar&#243;n%22&quot;&gt;L&#243;pez, Javier Bar&#243;n&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Romero%2C+Lourdes+Padilla%22&quot;&gt;Romero, Lourdes Padilla&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Toro%2C+M%2E+Victoria+Requena%22&quot;&gt;Toro, M. Victoria Requena&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Salvador%2C+Esperanza+Mart&#237;n%22&quot;&gt;Salvador, Esperanza Mart&#237;n&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gil%2C+Isabel+Morales%22&quot;&gt;Gil, Isabel Morales&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Enfermer&#237;a+Global%22&quot;&gt;Enfermer&#237;a Global&lt;/searchLink&gt;. oct2018, Vol. 17 Issue 4, p500-511. 12p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22DISCHARGE+planning%22&quot;&gt;DISCHARGE planning&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PATIENT+management%22&quot;&gt;PATIENT management&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HOSPITAL+admission+%26+discharge%22&quot;&gt;HOSPITAL admission &amp; discharge&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22MEDICAL+protocols%22&quot;&gt;MEDICAL protocols&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22RISK+assessment%22&quot;&gt;RISK assessment&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Classifying patients according to complexity and frailty during hospitalization allows efficient planning of the scope of care required by the patient at discharge. The aim of this study was to measure the screening validity of the Blaylock Risk Assessment Screening Score and its effectiveness in discharge planning. Methods:In 370 patients we analyzed the variables hospital stay, destination at discharge, use of healthcare resources and mortality. Results: Analysis of the relationship between mortality and the BRASS-Sp index with regard to gender and number of days of stay yielded a hazard ratio of 1.73 (95% CI 1.22-2.46; p=0.002) for male gender and 2.08 (95% CI 1.43-3.04; p&lt;0.001) for the BRASS-Sp score. Patients who continued in case management in Primary Care had a mean BRASS-Sp of 20.97 (standard deviation 6.11), while in the other patients the mean was 19.35 (standard deviation 5.60), p=0.02. Conclusions: The BRASS-Sp proved easy-to-use with verified content validity that is effective for screening hospitalized patients by case management nurses. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Estratificar a los pacientes en relaci&#243;n con la complejidad y fragilidad durante la hospitalizaci&#243;n, nos permite planificar de manera m&#225;s eficiente los cuidados y el &#225;mbito de atenci&#243;n que precisa al alta. El objetivo de este trabajo es evaluar la efectividad de la traducci&#243;n al espa&#241;ol de &#237;ndice de BRASS en la planificaci&#243;n del alta hospitalaria por enfermeras gestoras de casos de atenci&#243;n hospitalaria. M&#233;todo: En 370 pacientes. Se analizaron variables relacionadas con la estancia hospitalaria, destino al alta, utilizaci&#243;n de recursos sanitarios y mortalidad. Resultados: La edad media fue 72.6 a&#241;os (DE 14.05), 191 (51.6%) eran mujeres. Cuando analizamos la relaci&#243;n entre mortalidad e &#237;ndice de BRASS-Sp en relaci&#243;n al sexo y n&#250;mero de d&#237;as de ingreso encontramos una HR=1.73 (95% CI de 1.22 a 2.46) con una p=0.002 para sexo masculino y una HR=2.08 (95% CI 1.43 a 3.04) con una p&lt;0.001 para puntuaci&#243;n del &#237;ndice de BRASS_Sp. Los pacientes que continuaron en gesti&#243;n de casos en Atenci&#243;n Primaria obtuvieron una media del BRASS-Sp de 20.97 (DE 6.11) mientras que en los dem&#225;s fue de 19.35 (DE 5.60), p=0.02. Conclusiones: la traducci&#243;n al espa&#241;ol del &#237;ndice de BRASS se muestra como un instrumento f&#225;cil de usar, y con validez de contenido y efectividad para cribado de pacientes hospitalizados por enfermeras gestoras de casos. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Enfermer&#237;a Global is the property of Servicio de Publicaciones de la Universidad de Murcia and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.6018/eglobal.17.4.306111
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        Text: English
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