L'indice di Flugelman per individuare pazienti complessi e di difficile dimissione

Summary Introduction To evaluate the use of multidimensional assessment based on the Fluegelman Index (FI) to identify internal medicine patients who are likely to be difficult to discharge from the hospital. Materials and methods Have been evaluated all patients admitted to the medical wards of the District General Hospital of Arezzo from September 1 to October 31, 2007. We collected data on cancellare la parola age, sex, socioeconomic condition, cause of admission, comorbidity score preadmission functional status (Barthel Index), incontinence, feeding problems, length of hospitalization, condition at discharge, and type of discharge. The FI cut off for difficult discharge was ≥ 17. Results Of the 413 patients (mean age 80 ± 11.37 years; percentage of women, 56.1%) included in the study, 109 (26.39%) had Flugelman Index ≥17. These patients were significantly older than the patients with lower FIs (85 ± 9.35 vs 78 ± 11.58 years, p  Conclusions Evaluation of internal medicine patients with the Flugelman Index may be helpful for identifying more critical patients likely to require longer hospitalization and to detect factors affecting the hospital stay. This information can be useful for more effective discharge planning.