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Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals.
Cabre, M; Bolivar, I; Pera, G; Pallares, R.
Afiliação
  • Cabre M; Department of Internal Medicine, Hospital de Mataro, Consorci Sanitari del Maresme, Spain.
Epidemiol Infect ; 132(5): 821-9, 2004 Oct.
Article em En | MEDLINE | ID: mdl-15473144
ABSTRACT
We did a retrospective study of 1920 episodes of community-acquired pneumonia (CAP) in 27 community hospitals and analysed inter-hospital variability in length of hospital stay (LOS), mortality and readmission rates. The overall adjusted LOS (mean+/-S.D.) was 10.0+/-9.8 days. LOS increased according to the Pneumonia Severity Index (PSI) risk class 7.3 days for class I to 11.3 days for class V (P<0.001). In a multiple regression model, LOS increased (P<0.001) according to the hospital (inter-hospital variability), PSI risk class, complications during hospitalization, admission to ICU, need of oxygen and transfer to a nursing home. Hospitals with shorter LOS did not show an increased readmission rate (adjusted OR 1.02, 95% CI 0.51-2.03, P = 0.97) and post-discharge mortality (adjusted OR 1.20, 95% CI 0.70-2.05, P=0.51). There are significant inter-hospital variations in LOS in patients with CAP which are related to differences in clinical management. The reduction of these differences will further improve efficiency and quality of care.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 4_TD / 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Pneumonia / Infecções Comunitárias Adquiridas / Hospitais Comunitários / Tempo de Internação Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Epidemiol Infect Ano de publicação: 2004 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 4_TD / 6_ODS3_enfermedades_notrasmisibles Base de dados: MEDLINE Assunto principal: Pneumonia / Infecções Comunitárias Adquiridas / Hospitais Comunitários / Tempo de Internação Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male País/Região como assunto: Europa Idioma: En Revista: Epidemiol Infect Ano de publicação: 2004 Tipo de documento: Article