Adecuación de las estancias hospitalarias en un servicio de neumología

Associated Factors and Cost of Inappropriate Hospital Admissions and Stays in a Second-Level Hospital

“…The age relationship in our study does not correspond to most publications, 11,19,32,33 as inappropriateness of both admissions and stays is more likely in those who are younger, with significant differences. Contrary to what is commonly believed, this seems to indicate that age is not associated with a greater degree of inappropriate use of services, but that appropriate use of services is associated with a greater need for them.…”

“…33 The location of patients outside their nursing unit ("outliers") has been considered by very few authors. 11 In our study, being an "outlier" also has a statistically significant association with a higher incidence of inappropriate stay. This may be related to the habit of hospital doctors visiting the area patients first and the "outlying" patients last, which can lead to delays in tests and discharge from hospital.…”

“…The AEP has had various applications, usually corresponding to inappropriateness studies in specific clinical services. [11][12][13][14][15][16][17] Only a few studies have been conducted on the hospital as a whole. 18,19,21 The various studies use different sampling strategies, which may be related to the study design (retrospective or concurrent) or to the sample unit.…”

“…The AEP has had various applications, usually corresponding to appropriateness studies of specific clinical services such as emergency, medical services, or surgery. [11][12][13][14][15][16][17] Only a few studies have examined the impact of inappropriate admissions and stays on an acute care hospital as a whole. 18,19 The factors traditionally associated with a higher rate of inappropriateness are old age, medical as opposed to surgical services, and prolonged stays.…”