A short stay unit decreased mean length of stay in a hospital in south Brazil
Clin. biomed. res
; 34(4): 381-386, 2014. ilus, tab
Artigo
em Inglês
| LILACS
| ID: biblio-834479
Biblioteca responsável:
BR18.1
ABSTRACT
Introduction:
Public health services in Brazil are periodically overcrowded. Since reducing the length of stay (LOS) could increase the availability of hospital beds, this study evaluated the impact of a short stay unit (SSU) on LOS, early readmission rates, and intra-hospital mortality rates. Methods Data were evaluated retrospectively in the 12 months before and after the establishment of a multidisciplinary SSU in a tertiary care hospital in south Brazil. All admissions of adult patients through the Emergency Department for causes in nine groups of the World Health Organization International Code of Diseases-10 were included. Results Mean LOS decreased 1.42 days in the first year after the implementation of a SSU with no change in 7-day readmission rates or intra-hospital mortality rates. This decrease may be partially explained by the decrease in the mean LOS in other areas of the hospital, although the amount of hospital-bed days saved in the second year was 5,668 days in the Internal Medicine Division and 1,595 days in all other clinical or surgical areas. Mortality rates after discharge were not evaluated. Conclusions A SSU decreased mean LOS of selected patients admitted through the Emergency Department without increasing 7-day readmission rates or intra-hospital mortality.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Arranjos de Entrega
/
Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
LILACS
Assunto principal:
Planejamento de Assistência ao Paciente
/
Alta do Paciente
/
Avaliação de Resultados em Cuidados de Saúde
/
Gerenciamento Clínico
/
Serviço Hospitalar de Emergência
/
Equipe de Respostas Rápidas de Hospitais
/
Tempo de Internação
Limite:
Adulto
/
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Clin. biomed. res
Assunto da revista:
Medicina
Ano de publicação:
2014
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal do Rio Grande do Sul/BR