Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals

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 t...

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Detalles Bibliográficos
Autores: Cabre, M., Bolivar, I., Pera, G., Pallarés Giner, Roman
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2004
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/187142
Acceso en línea:https://hdl.handle.net/2445/187142
Access Level:acceso abierto
Palabra clave:Pneumònia adquirida a la comunitat
Assistència hospitalària
Gestió hospitalària
Factors de risc en les malalties
Community-acquired pneumonia
Hospital care
Hospital administration
Risk factors in diseases
Descripción
Sumario: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.

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