Clinical characteristics associated with days to discharge among patients admitted with a primary diagnosis of lower limb cellulitis.
J Am Acad Dermatol
; 76(4): 626-631, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28089727
ABSTRACT
BACKGROUND:
Clinicians have limited ability to classify risk of prolonged hospitalization among patients with lower limb cellulitis.OBJECTIVE:
We sought to identify characteristics associated with days to discharge and prolonged stay.METHODS:
We conducted retrospective cohort analysis including patients admitted with a primary diagnosis of lower limb cellulitis at community and tertiary hospitals.RESULTS:
There were 4224 admissions for lower limb cellulitis among 3692 patients. Mean age of the cohort was 64.4 years. Frequencies of tobacco smoking, obesity, and diabetes mellitus were 25.1%, 44.9%, and 19.3%, respectively. Patients having decreased likelihood of discharge included those with the following 10-year age increments 0.90 (95% confidence interval [CI] 0.88-0.92), obesity 0.90 (95% CI 0.83-0.97), diabetes mellitus 0.90 (95% CI 0.82-0.98), tachycardia 0.76 (95% CI 0.67-0.85), hypotension 0.77 (95% CI 0.65-0.90), leukocytosis 0.86 (95% CI 0.79-0.93), neutrophilia 0.80 (95% CI 0.73-0.87), elevated serum creatinine 0.74 (95% CI 0.68-0.81), and low serum bicarbonate 0.84 (95% CI 0.75-0.95).LIMITATIONS:
This analysis is retrospective and based on coded data. Unknown confounding variables may also influence prolonged stay.CONCLUSIONS:
Patients with lower limb cellulitis and prolonged stay have a number of clinical characteristics which may be used to classify risk for prolonged stay.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Celulite (Flegmão)
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Tempo de Internação
Tipo de estudo:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Am Acad Dermatol
Ano de publicação:
2017
Tipo de documento:
Article