<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392021000200007</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed62-2.enhc</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effects of a Home Care Program in Geriatrics on the Number of Hospitalizations and Emergency Room Visits]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos de un programa de atención domiciliara en geriatría sobre el número de hospitalizaciones y consultas a urgencias]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Salazar]]></surname>
<given-names><![CDATA[Valentina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcés-Medina]]></surname>
<given-names><![CDATA[María Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chavarro-Carvajal]]></surname>
<given-names><![CDATA[Diego Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses-Bernal]]></surname>
<given-names><![CDATA[Juan Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cano-Gutiérrez]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santacruz Escudero]]></surname>
<given-names><![CDATA[José Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pontificia Universidad Javeriana School of Medicine Institute of Aging]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,SIES Salud IPS  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Pontificia Universidad Javeriana School of Medicine Institute of Aging]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Pontificia Universidad Javeriana School of Medicine Institute of Aging]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>62</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392021000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392021000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392021000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To evaluate the effects of the home care program of the Intellectus Center of Memory and Cognition in a group of multimorbid and dependent patients with regards to the number of hospitalizations and emergency room visits, before the program and one year after the follow-up.  Design: Longitudinal study of before and after type.  Participants: Patients of the home care program of the Intellectus Center of Memory and Cognition, who met inclusion criteria: attended at home by geriatrician, aged 65 or over, chronic diseases or dementia, cancer or others, Barthel index less than 60, minimum follow up of one year in home care program.  Main measurements: Number of hospitalizations and emergency room visits, before and after the year of follow up.  Results: The average of hospitalizations decreased from 1.91 (SD: 1.82; 95% CI: 1.50-2.32) to 0.96 (SD: 1.43; 95% CI: 0.66 to 1.26) with statistical significance (p = 0.002). The average number of emergency room visits decreased significantly (p = 0.0003) from 2.20 (SD: 1.91; 95% CI: 1.77-2.63) to 1.20 (SD: 1.69; 95% CI: 0.82-1.58).  Conclusions: A reduction in the number of emergency room visits and hospital admissions was evidenced with statistically significant difference.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[ Objetivo: Evaluar los efectos del programa de atención domiciliaria del Centro de Memoria y Cognición Intellectus en un grupo de pacientes multimórbidos y dependientes con respecto al número de hospitalizaciones y consultas a urgencias antes del ingreso al programa y un año posterior al seguimiento.  Diseño: Fue un estudio longitudinal de antes y después.  Participantes: Pacientes del programa de atención domiciliaria del Centro de Memoria y Cognición Intellectus atendidos por geriatría domiciliaria con edad igual o mayor a 65 años, con enfermedades crónicas discapacitantes o trastorno neurocognoscitivo mayor; índice de Barthel menor de 60 y seguimiento mínimo de un año en el programa de atención domiciliaria.  Intervenciones: Seguimiento de un año en el programa de atención domiciliaria y entrevista estructurada a los pacientes o familiares de los pacientes para evaluar los desenlaces.  Resultados: El promedio de hospitalizaciones se redujo de 1,91 (DE: 1,82; IC95 %: 1,50-2,32) a 0,96 (DE: 1,43; IC95 %: 0,66-1,26) con significancia estadística (p &lt; 0,001). El promedio de consultas a urgencias disminuyó de forma significativa (p &lt; 0,001) de 2,20 (DE: 1,91; IC95 %: 1,77-2,63) a 1,20 (DE: 1,69; IC95 %: 0,82-1,58).  Conclusiones: Se redujo el número de vistas a urgencias e ingresos hospitalarios con diferencias estadísticamente significativas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[aged]]></kwd>
<kwd lng="en"><![CDATA[house calls]]></kwd>
<kwd lng="en"><![CDATA[hospitalization]]></kwd>
<kwd lng="en"><![CDATA[emergencies]]></kwd>
<kwd lng="es"><![CDATA[anciano]]></kwd>
<kwd lng="es"><![CDATA[atención domiciliaria]]></kwd>
<kwd lng="es"><![CDATA[visita domiciliaria]]></kwd>
<kwd lng="es"><![CDATA[hospitalización]]></kwd>
<kwd lng="es"><![CDATA[urgencias médicas]]></kwd>
</kwd-group>
</article-meta>
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