Evidence map›Paper›PMID 39866646›Full record

ReviewWorld journal of clinical cases2025

Challenges and improvement strategies in the hospitalization of chronic multimorbid patients.

Andres Fontalba-Navas, Francisco Pozo Muñoz, Rogelio Garcia Cisneros, Maria Jose Garcia Larrosa, Maria Del Mar Callejon Gil, Ignacio Garcia Delgado, Maria Belen Jimenez Martinez

Abstract readReview
In one paragraph

Review in World journal of clinical cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andres Fontalba-NavasAntequera Hospital, Northern Málaga Integrated Healthcare Area, Antequera 29200, Andalusia, Spain.
Francisco Pozo MuñozAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.
Rogelio Garcia CisnerosAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.
Maria Jose Garcia LarrosaAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.
Maria Del Mar Callejon GilAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.
Ignacio Garcia DelgadoAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.
Maria Belen Jimenez MartinezAntequera Hospital, Northern Málaga Antequera Integrated Healthcare Area, Antequera 29200, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAddressing the growing challenge of hospitalizing chronic multimorbid patients, this study examines the strain these conditions impose on healthcare systems at a local level, focusing on a pilot program. Chronic diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient outcomes. If proven effective, this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid patients.

aimTo evaluate the effectiveness of the high complexity unit (HCU) in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital care.

methodsThe study employed a descriptive longitudinal approach, analyzing data from the Basic Minimum Data Set (BMDS) to compare hospitalization variables among the HCU, the Internal Medicine Service, and other services at Antequera Hospital throughout 2022. The HCU, designed for patients with complex chronic conditions, integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.

resultsThe study employed a descriptive longitudinal approach, analyzing data from the BMDS to compare hospitalization variables among the HCU, the Internal Medicine Service, and other services at Antequera Hospital throughout 2022. The HCU, designed for patients with complex chronic conditions, integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.

conclusionThis study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary approach. The coordinated care provided by the HCU results in improved patient outcomes, reduced unnecessary hospitalizations, and better management of patient complexity. The superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction, reinforcing its value as a model of care to be replicated.

Indexed as

Chronic multimorbidityHealthcare managementHigh complexity unitIntegrated carePatient-centered care

Identifiers

PMID39866646
PMCPMC11577520

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.