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Volume 19
Issue 14
10.3390/ijerph19148581
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Background:
Study Protocol

Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation

by
Marta Morales-Puerto
1,
María Ruiz-Díaz
1,
Marta Aranda-Gallardo
1,2,3,*,
José Miguel Morales-Asencio
2,3,
Purificación Alcalá-Gutiérrez
1,
José Antonio Rodríguez-Montalvo
1,
Álvaro León-Campos
2,3,
Silvia García-Mayor
2,3 and
José Carlos Canca-Sánchez
1,2,3
1
Hospital Costa del Sol, Servicio Andaluz de Salud, Autovía A7, Km, 187 Marbella, 29603 Málaga, Spain
2
Department of Nursing, Faculty of Health Sciences, Universidad de Málaga, C/Arquitecto Francisco Peñalosa 3, 29017 Málaga, Spain
3
Instituto de Investigación Biomédica de Málaga (IBIMA), 29590 Málaga, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(14), 8581; https://doi.org/10.3390/ijerph19148581
Submission received: 13 June 2022 / Revised: 5 July 2022 / Accepted: 12 July 2022 / Published: 14 July 2022
(This article belongs to the Section Public Health Statistics and Risk Assessment)
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Abstract

(1) Background: There is currently a global consensus that the quality of comprehensive care for acutely hospitalised elderly people should include addressing functionality and mobility, cognitive status, prevention of pressure ulcers, urinary incontinence, falls and delirium, as well as pain control and medication-related problems. The aim of this study is to develop and validate a clinical prediction rule for multimorbid patients admitted to an acute care hospital unit for any of the five adverse events included in our vulnerability pentad: falls, pressure ulcers, urinary incontinence, pain and delirium. (2) Methods: Longitudinal analytical clinimetric study, with two cohorts. The study population will consist of multimorbid patients hospitalised for acute care, referred from the Emergency Room. A clinical prediction rule will be proposed, incorporating predictive factors of these five adverse outcomes described. This study has received funding, awarded in November 2020 (PI-0107-2020), and was approved in October 2019 by the Research Ethics Committee ″Costa del Sol″. (3) Conclusions: Preventing adverse events in hospitalised patients is particularly important for those with multimorbidity. By applying a clinical prediction rule to detect specific risks, an estimate can be obtained of their probability of occurrence.
Keywords: clinical prediction rule; clinical safety; adverse events; multimorbidity; validation study; nursing clinical prediction rule; clinical safety; adverse events; multimorbidity; validation study; nursing

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MDPI and ACS Style

Morales-Puerto, M.; Ruiz-Díaz, M.; Aranda-Gallardo, M.; Morales-Asencio, J.M.; Alcalá-Gutiérrez, P.; Rodríguez-Montalvo, J.A.; León-Campos, Á.; García-Mayor, S.; Canca-Sánchez, J.C. Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation. Int. J. Environ. Res. Public Health 2022, 19, 8581. https://doi.org/10.3390/ijerph19148581

AMA Style

Morales-Puerto M, Ruiz-Díaz M, Aranda-Gallardo M, Morales-Asencio JM, Alcalá-Gutiérrez P, Rodríguez-Montalvo JA, León-Campos Á, García-Mayor S, Canca-Sánchez JC. Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation. International Journal of Environmental Research and Public Health. 2022; 19(14):8581. https://doi.org/10.3390/ijerph19148581

Chicago/Turabian Style

Morales-Puerto, Marta, María Ruiz-Díaz, Marta Aranda-Gallardo, José Miguel Morales-Asencio, Purificación Alcalá-Gutiérrez, José Antonio Rodríguez-Montalvo, Álvaro León-Campos, Silvia García-Mayor, and José Carlos Canca-Sánchez. 2022. "Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation" International Journal of Environmental Research and Public Health 19, no. 14: 8581. https://doi.org/10.3390/ijerph19148581

APA Style

Morales-Puerto, M., Ruiz-Díaz, M., Aranda-Gallardo, M., Morales-Asencio, J. M., Alcalá-Gutiérrez, P., Rodríguez-Montalvo, J. A., León-Campos, Á., García-Mayor, S., & Canca-Sánchez, J. C. (2022). Development of a Clinical Prediction Rule for Adverse Events in Multimorbid Patients in Emergency and Hospitalisation. International Journal of Environmental Research and Public Health, 19(14), 8581. https://doi.org/10.3390/ijerph19148581

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