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
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spelling Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitalsCabre, M.Bolivar, I.Pera, G.Pallarés Giner, RomanPneumònia adquirida a la comunitatAssistència hospitalàriaGestió hospitalàriaFactors de risc en les malaltiesCommunity-acquired pneumoniaHospital careHospital administrationRisk factors in diseasesWe 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.Cambridge University Press2004info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/187142Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.1017/S0950268804002651Epidemiology and Infection, 2004, vol. 132, p. 821-829https://doi.org/10.1017/S0950268804002651(c) Cambridge University Press, 2004info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1871422026-05-27T06:46:51Z
dc.title.none.fl_str_mv Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
title Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
spellingShingle Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
Cabre, M.
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
title_short Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
title_full Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
title_fullStr Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
title_full_unstemmed Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
title_sort Factors influencing lenght of hospital stay in community-acquired pneumonia: a study in 27 community hospitals
dc.creator.none.fl_str_mv Cabre, M.
Bolivar, I.
Pera, G.
Pallarés Giner, Roman
author Cabre, M.
author_facet Cabre, M.
Bolivar, I.
Pera, G.
Pallarés Giner, Roman
author_role author
author2 Bolivar, I.
Pera, G.
Pallarés Giner, Roman
author2_role author
author
author
dc.subject.none.fl_str_mv 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
topic 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
description 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.
publishDate 2004
dc.date.none.fl_str_mv 2004
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/187142
url https://hdl.handle.net/2445/187142
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1017/S0950268804002651
Epidemiology and Infection, 2004, vol. 132, p. 821-829
https://doi.org/10.1017/S0950268804002651
dc.rights.none.fl_str_mv (c) Cambridge University Press, 2004
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Cambridge University Press, 2004
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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