1509 lines
46 KiB
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1509 lines
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<time class="article-date es-date">4 October 2022</time>
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<h1 class="page-title">La información de All of Us ayuda a predecir mejor la readmisión hospitalaria de pacientes con sepsis</h1>
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<span><strong>Last Reviewed: </strong>October 4, 2022</span>
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<h2><strong>Puntos clave</strong></h2>
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<li>Los investigadores científicos utilizaron la información de<em> All of Us </em>sobre los determinantes sociales de la salud para predecir el reingreso por sepsis en los pacientes.</li>
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<li>Los determinantes sociales de la salud que afectan el riesgo de readmisión hospitalaria de una persona incluyen: demoras en obtener atención médica, no tener seguro médico, vivienda o empleo inestables y niveles educativos más bajos.</li>
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<li>La diversidad del conjunto de datos de <em>All of Us</em> fue clave en el éxito de los modelos predictivos de sepsis.</li>
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<div class="col-md-5"><img alt="Un diagrama que compara los modelos de readmisión por sepsis nuevos y existentes. El modelo existente incluye información demográfica y datos sobre antecedentes médicos. El nuevo modelo incluye registros de pacientes y respuestas de la encuesta de All of Us que cubren transporte, seguro médico, vivienda, empleo, educación e ingresos, cuyo impacto es la atención informada al paciente. Logotipo del Programa Científico All of Us." class="img-fluid" height="785" src="/sites/default/files/22-0834 AoU Sepsis Graphic_SP_dev4_725x785px.png" width="725" loading="lazy"></div>
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<p><strong>La sepsis es una emergencia médica grave y potencialmente mortal </strong>que ocurre cuando una infección se propaga por todo el cuerpo y llega a la sangre.</p>
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<p>Las personas que han estado en el hospital con sepsis a veces regresan porque su enfermedad regresa.</p>
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<p>Los nuevos conocimientos basados en la información de <em>All of Us</em> determinaron que los <strong>investigadores científicos pueden predecir mejor la readmisión</strong> <strong>hospitalaria </strong>al observar ciertos factores sociales y ambientales, como educación, vivienda, empleo y acceso a la atención. Estos son conocidos como determinantes sociales de la salud. Los modelos más antiguos para la readmisión por sepsis incluían solo información demográfica (como edad, sexo y raza) y problemas médicos o de salud previos. </p>
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<p>Estos nuevos hallazgos fueron publicados en <em><a href="https://academic.oup.com/jamia/article-abstract/29/7/1263/6576837">Journal of the American Medical Informatics Association</a></em> (en inglés). </p>
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<h2>Una mayor riqueza de información produce mejores predicciones</h2>
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<p><strong>En este estudio, los investigadores científicos crearon un nuevo modelo para predecir el reingreso por sepsis a los 30 días.</strong> En el <a href="https://www.researchallofus.org/data-tools/workbench/">Taller Digital de Investigación Científica</a> (en inglés), examinaron datos de casi 9,000 participantes con antecedentes de sepsis. Los investigadores científicos utilizaron información de registros electrónicos de salud (información demográfica y clínica) de muchos sitios de <em>All of Us</em> diferentes en todo el país. También incluyeron las respuestas de los participantes a 88 preguntas de la encuesta sobre diferentes factores sociales y ambientales.</p>
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<p>Los investigadores científicos encontraron <strong>varios factores relacionados con mayores posibilidades</strong> de reingreso hospitalario no planificado:</p>
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<ul>
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<li>Retrasos en obtener atención médica debido a la falta de transporte</li>
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<li>Falta de seguro médico</li>
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<li>Vivienda o empleo inestable</li>
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<li>Niveles de educación e ingresos más bajos</li>
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</ul>
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<p><strong>Los hombres y los pacientes afroamericanos o asiáticos también tenían más probabilidades</strong> de necesitar regresar al hospital que las mujeres o las personas de otras razas.</p>
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<h2>Atención informada para la sepsis utilizando determinantes sociales de la salud</h2>
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<p>Este nuevo modelo puede ayudar al personal de atención médica a identificar a los pacientes que pueden estar en mayor riesgo de readmisión y encontrar formas de ayudar. Por ejemplo, <strong>algunos pacientes pueden beneficiarse de un seguimiento adicional</strong> después de salir del hospital. Los administradores de casos podrían organizar el transporte a los chequeos de salud para los pacientes que lo necesiten, para evitar demoras y mejorar el acceso a la atención médica.</p>
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<p>Estos resultados demuestran<strong> la importancia de la diversidad</strong> en <a href="https://www.joinallofus.org/es"><em>All of Us</em></a>. Cuando la investigación científica incluye a personas de diferentes orígenes, podemos recopilar información sobre una variedad más amplia de resultados de enfermedades. De esta forma, los investigadores científicos pueden <strong>crear modelos que se apliquen a más personas.</strong></p>
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<p>Este estudio se basó en información inicial de <em>All of Us</em>. Con el tiempo, habrá más información disponible que puede generar más conocimientos como estos.</p>
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Realice investigaciones científicas con All of Us
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<li>Vea más <strong><a href="https://www.researchallofus.org/research-projects-directory/">proyectos de investigación científica que son posibles gracias a la información y las herramientas de <em><em><em>All of Us</em></em></em></a></strong><em> </em>(en inglés).</li>
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<img src="/sites/default/files/23-0175%20Cheryl%20Clark_900x900.jpg" width="900" height="900" alt="Foto de Cheryl Clark" loading="lazy" typeof="foaf:Image" class="img-fluid" />
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Conectando el entorno social y los resultados de salud para identificar disparidades: Cheryl R. Clark, investigadora científica de la Escuela de Medicina de Harvard, médica y madre
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