{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T20:37:09Z","timestamp":1760647029669,"version":"3.41.2"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Ga\u00facha Enferm."],"abstract":"<jats:p>Resumo  OBJETIVO Mapear a evid\u00eancia existente sobre as causas de atraso na alta hospitalar no cliente adulto.  M\u00c9TODOS Efetuada revis\u00e3o da literatura do tipo scoping review. Pesquisou-se na plataforma inform\u00e1tica da Ebscohost, na PubMed e na literatura cinzenta, consultando-se as refer\u00eancias bibliogr\u00e1ficas desses documentos.  RESULTADOS Dos 22 artigos analisados verificou-se que o atraso na alta hospitalar se deve a causas relacionadas com os recursos da comunidade, designadamente a falta de vagas em unidades de sa\u00fade e motivos sociais; a causas organizacionais relacionadas com os cuidados de sa\u00fade; a causas individuais, destacando-se as quest\u00f5es familiares e financeiras; culminando nas causas organizacionais relacionadas com a gest\u00e3o hospitalar.  CONCLUS\u00c3O O atraso na alta hospitalar \u00e9 multifatorial, tornando-se necess\u00e1rio monitorizar o processo de interna\u00e7\u00e3o, apostando-se num planejamento de alta antecipado.<\/jats:p>","DOI":"10.1590\/1983-1447.2019.20180130","type":"journal-article","created":{"date-parts":[[2019,6,8]],"date-time":"2019-06-08T19:34:17Z","timestamp":1560022457000},"source":"Crossref","is-referenced-by-count":6,"title":["Causas de atraso na alta hospitalar no cliente adulto: scoping review"],"prefix":"10.1590","volume":"40","author":[{"given":"Diana Andreia Santos","family":"Modas","sequence":"first","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"given":"Elisabete Maria Garcia Teles","family":"Nunes","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]},{"given":"Zaida Borges","family":"Charepe","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"year":"2017","series-title":"Length of hospital stay","key":"ref1"},{"issue":"3-4","key":"ref2","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1007\/s10754-013-9135-4","article-title":"Between two beds: inappropriately delayed discharges from hospitals","volume":"13","author":"Holm\u00e5s TH","year":"2013","journal-title":"Int J Health Care Finance Econ"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s00068-007-6184-8","article-title":"Evaluation of factors delaying discharge in acute orthopedic wards: a prospective study","volume":"34","author":"Rambani R","year":"2008","journal-title":"Eur J Trauma Emerg Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1186\/1472-6963-12-410","article-title":"Delay in discharge and its impact on unnecessary hospital bed occupancy","volume":"12","author":"Majeed UM","year":"2012","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"E1","DOI":"10.1097\/NND.0b013e3181b1ba74","article-title":"Prevention of delay in the patient discharge process - an emphasis on nurses' role","volume":"26","author":"Pirani A","year":"2010","journal-title":"J Nurses Staff Dev"},{"issue":"2","key":"ref6","first-page":"309","article-title":"The nurse work in the discharge of hospitalized children: articulation of basic hospital attention","volume":"32","author":"Silva RV","year":"2011","journal-title":"Rev Ga\u00facha Enferm"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.healthpol.2005.06.005","article-title":"Delayed transfers of older people from hospital causes and policy implications","volume":"76","author":"Bryan K","year":"2006","journal-title":"Health Policy"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/1472-6963-14-128","article-title":"Sociodemographic, clinical and organizational factors associated with delayed hospital discharges a cross-sectional study","volume":"14","author":"Lenzi J","year":"2014","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"320","DOI":"10.7861\/clinmedicine.12-4-320","article-title":"In-depth analysis of delays to patient discharge a metropolitan teaching hospital experience","volume":"12","author":"Hendy P","year":"2012","journal-title":"Clin Med [Lond]"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/gps.3983","article-title":"An examination of factors influencing delayed discharge of older people from hospital","volume":"29","author":"Challis D","year":"2014","journal-title":"Int J Geriatr Psychiatry"},{"issue":"9","key":"ref11","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-011193","article-title":"Delayed discharges at a major arterial centre a 4-month cross-sectional study at a single specialist vascular surgery ward","volume":"6","author":"Houghton JS","year":"2017","journal-title":"BMJ Open"},{"issue":"2","key":"ref12","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/s00198-015-3293-9","article-title":"The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs","volume":"27","author":"Landeiro F","year":"2015","journal-title":"Osteoporos Int"},{"issue":"3","key":"ref13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1191\/0269215502cr496oa","article-title":"Delayed discharges from Oxford city hospitals who and why?","volume":"16","author":"Carter ND","year":"2002","journal-title":"Clin Rehabil"},{"issue":"1","key":"ref14","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1258\/135581906775094208","article-title":"All dressed up but nowhere to go delayed hospital discharges and older people","volume":"11","author":"Glasby J","year":"2006","journal-title":"J Health Serv Res Policy"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/S0025-7753(01)72026-X","article-title":"Factores predictivos de estancias no adecuadas en un servicio de medicina interna","volume":"117","author":"Zambrana Garc\u00eda JL","year":"2001","journal-title":"Med Clin"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1191\/0269215506cr881oa","article-title":"Delayed discharge from rehabilitation after brain injury","volume":"20","author":"Worthington AD","year":"2006","journal-title":"Clin Rehabil"},{"issue":"3","key":"ref17","first-page":"237","article-title":"Factores asociados con el uso y adecuaci\u00f3n de la hospitalizaci\u00f3n en personas mayores de 64 a\u00f1os","volume":"75","author":"Garc\u00eda FS","year":"2001","journal-title":"Rev Esp Salud Publica"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1308\/003588406X149246","article-title":"A waiting list to go home an analysis of delayed discharges from surgical beds","volume":"88","author":"Benson RT","year":"2006","journal-title":"Ann R Coll Surg Engl"},{"issue":"2","key":"ref19","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s11739-007-0029-7","article-title":"Difficult hospital discharges in internal medicine wards","volume":"2","author":"Nardi R","year":"2007","journal-title":"Intern Emerg Med"},{"issue":"2","key":"ref20","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1308\/003588403321219894","article-title":"Postoperative stay following colorectal surgery a study of factors associated with prolonged hospital stay","volume":"85","author":"Reddy KM","year":"2003","journal-title":"Ann R Coll Surg Engl"},{"issue":"5","key":"ref21","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.rce.2011.12.009","article-title":"Retraso del alta hospitalaria por motivos no medicos","volume":"212","author":"Giraldo DM","year":"2012","journal-title":"Rev Clin Espanola"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1471-2318-9-4","article-title":"Delayed transfer of care from NHS secondary care to primary care in England its determinants, effect on hospital bed days, prevalence of acute medical conditions and deaths during delay, in older adults aged 65 years and over","volume":"9","author":"Jasinarachchi KH","year":"2009","journal-title":"BMC Geriatrics"},{"issue":"3","key":"ref23","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1136\/heart.87.3.216","article-title":"Restricted weekend service inappropriately delays discharge after acute myocardial infarction.","volume":"87","author":"Varnava AM","year":"2002","journal-title":"Heart"},{"issue":"6","key":"ref24","doi-asserted-by":"crossref","first-page":"679","DOI":"10.3109\/17453674.2011.636682","article-title":"Why still in hospital after fast-track hip and knee arthroplasty","volume":"82","author":"Husted H","year":"2011","journal-title":"Acta Orthop"},{"issue":"3","key":"ref25","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1007\/s00590-013-1188-z","article-title":"Enhanced care for primary hip arthroplasty factors affecting length of hospital stay","volume":"24","author":"Panteli M","year":"2014","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"a2694","DOI":"10.1136\/bmj.a2694","article-title":"Planning a patient's discharge from hospital","volume":"337","author":"Katikireddi SV","year":"2008","journal-title":"BMJ"},{"issue":"6","key":"ref27","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.amjsurg.2014.07.002","article-title":"What&apos;s the hold up factors contributing to delays in discharge of trauma patients after medical clearance","volume":"208","author":"Watkins JR","year":"2014","journal-title":"Am J Surg"},{"year":"2015","series-title":"OECD reviews of health care quality: Portugal 2015: raising standards","key":"ref28"},{"issue":"1","key":"ref29","first-page":"92","article-title":"Programa de atendimento de enfermagem na admiss\u00e3o e alta hospitalar","volume":"27","author":"Glanzner CH","year":"2006","journal-title":"Rev Ga\u00facha Enferm"}],"container-title":["Revista Ga\u00facha de Enfermagem"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rgenf\/v40\/1983-1447-rgenf-40-e20180130.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T23:38:58Z","timestamp":1581118738000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1983-14472019000100600&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019]]},"references-count":29,"alternative-id":["S1983-14472019000100600"],"URL":"https:\/\/doi.org\/10.1590\/1983-1447.2019.20180130","relation":{},"ISSN":["1983-1447","0102-6933"],"issn-type":[{"type":"electronic","value":"1983-1447"},{"type":"print","value":"0102-6933"}],"subject":[],"published":{"date-parts":[[2019]]},"article-number":"e20180130"}}