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dc.contributor.advisorRomero Lugo, Jesús Antonio-
dc.creatorMosquera Moscoso, Johanna Isabel-
dc.date.accessioned2019-06-17T15:23:32Z-
dc.date.available2019-06-17T15:23:32Z-
dc.date.issued2019-
dc.identifier.citationMosquera Moscoso, J. I. (2019). La Asociación del tipo de Aseguranza médica con la mortalidad intrahospitalaria en pacientes con accidente cerebrovascular isquémico en el estado de Florida entre los años 2008 a 2012 (Tesis de pregrado). Universidad de las Américas, Quito.es_ES
dc.identifier.otherUDLA-EC-TMC-2019-04-
dc.identifier.urihttp://dspace.udla.edu.ec/handle/33000/11077-
dc.descriptionHealth insurance coverage type in post-event ischemic stroke patients are associated with varying increases of mortality, however, this information is limited to those who live in Florida. Objective: The purpose of this analysis is to examine the association of health insurance coverage type and mortality status in post-event ischemic stroke hospitalization in Florida. Methods: This will be a secondary analysis of data collected by the Florida Agency for Health Care Administration (AHCA). Patients greater than or equal 18 years of age with a discharge diagnosis of ischemic stroke in Florida acute care hospitals between 2008 and 2012 were included for analysis. Mortality status was defined as either dead or alive. A binary logistic regression modeling was used to examine this association while controlling for confounders using a multivariate logistic regression. Results: Approximately 133,044 patients met the inclusion criteria. The overall mean age was 62.5 years and 60,345 (55 percent) were men. After adjusting for gender, race, length of stay, tobacco use and the following comorbidities: diabetes, hypertension, hypercholesterolemia and hyperlipidemia, patients with any insurance payer type – including the uninsured– had greater odds of dying in comparison to patients under Medicare. Those who were uninsured had 50 percent higher odds of dying (OR equal 1.5, 95 percent CI equal 1.3-7.0), Medicaid type had 80 percent higher odds of dying (OR equal 1.8, 95 percent CI equal 31.6-2.1), private insurance type was at about 2 times more likely of dying (OR equal 2.1, 95 percent CI equal 1.9-2.4) while the other insurance payer types which includes Tricare, other government insurance, veterans, worker is compensation and self-pay insurance, had over a 7x odds of death (OR=7.2, 95 percent CI equal 6.5-8.0; p smaller than 0.001) as compared to the Medicare insurance type. Conclusion: Those with Medicaid, private insurance, other insurance payer types and those who are uninsured had an increased odd of dying as compared to those with Medicare. It is important to investigate these findings further in order to standardize healthcare insurance types to optimize outcomes in patients with post event ischemic stroke.en
dc.description.abstractEl tipo de cobertura de seguros médicos en pacientes con accidente cerebro vascular isquémico está asociado a un incremento variable de la mortalidad, sin embargo, esta información está limitada a aquellos que viven en Florida...es_ES
dc.format.extent49 p.es_ES
dc.language.isospaes_ES
dc.publisherQuito: Universidad de las Américas, 2019es_ES
dc.rightsopenAccesses_ES
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Ecuador*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/ec/*
dc.subjectDERRAME CEREBRALes_ES
dc.subjectCEREBRO- ENFERMEDADESes_ES
dc.subjectMORTALIDAD INTRAHOSPITALARIAes_ES
dc.subjectASEGURANZA MÉDICAes_ES
dc.subjectSEGUROS MÉDICOSes_ES
dc.titleLa Asociación del tipo de Aseguranza médica con la mortalidad intrahospitalaria en pacientes con accidente cerebrovascular isquémico en el estado de Florida entre los años 2008 a 2012es_ES
dc.typebachelorThesises_ES
Aparece en las colecciones: Medicina

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