Document Detail


Initial risk class and length of hospital stay in community-acquired pneumonia.
MedLine Citation:
PMID:  11510787     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The total medical costs of community-acquired pneumonia are directly related to the costs of hospital admission and length of stay. The aim of the present study was to evaluate the reasons for prolonged duration of stay in patients stratified in five risk classes for death, and to identify factors associated with prolonged stay. The study population consisted of 295 patients. According to lower (classes I, II, III) or to higher (classes IV, V) risk, the target duration of hospitalization was set at 5 and 7 days, respectively. The causes of prolonged hospitalization were classified as pneumonia-related, complications, unstable comorbid diseases and nonclinical factors. The overall percentage of patients with appropriate duration of hospitalization was 32%. Causes of prolonged hospitalization were related mainly to pneumonia (32%) from all risk classes. Morbid complications and instability of the underlying illness were greater in class V patients. Nonclinical factors were present in 29.5% of cases. Hypoxaemia, anaemia, hypoalbuminaemia, and complications appearing before 72 h were associated with prolonged hospitalization. The cause of prolonged hospitalization of patients with community-acquired pneumonia is multifactorial, depending mainly on pneumonia and comorbid conditions but there is a large number of unnecessary hospitalization days that could be reduced by improving the efficiency of hospital care.
Authors:
R Menéndez; D Ferrando; J M Vallés; E Martínez; M Perpiñá
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The European respiratory journal     Volume:  18     ISSN:  0903-1936     ISO Abbreviation:  Eur. Respir. J.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-20     Completed Date:  2002-01-02     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  8803460     Medline TA:  Eur Respir J     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  151-6     Citation Subset:  IM    
Affiliation:
Service of Pneumology, Hospital Universitario La Fe, Valencia, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Community-Acquired Infections / classification,  economics*,  mortality
Comorbidity
Efficiency
Health Services Misuse / economics
Humans
Length of Stay / economics*,  statistics & numerical data
Middle Aged
Pneumonia, Bacterial / classification,  economics*,  mortality
Prospective Studies
Risk
Spain / epidemiology
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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