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Titolo:
Initial risk class and length of hospital stay in community-acquired pneumonia
Autore:
Menendez, R; Ferrando, D; Valles, JM; Martinez, E; Perpina, M;
Indirizzi:
Univ Valencia, Hosp La Fe, Serv Pneumol, E-46009 Valencia, Spain Univ Valencia Valencia Spain E-46009 rv Pneumol, E-46009 Valencia, Spain
Titolo Testata:
EUROPEAN RESPIRATORY JOURNAL
fascicolo: 1, volume: 18, anno: 2001,
pagine: 151 - 156
SICI:
0903-1936(200107)18:1<151:IRCALO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
ORAL ANTIMICROBIAL THERAPY; PRACTICE GUIDELINES; OUTCOMES; CONVERSION; DISCHARGE; COHORT; CARE; COST; TIME;
Keywords:
community-acquired pneumonia; length or stay; risk class;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Menendez, R Univ Valencia, Hosp La Fe, Serv Neumol, Avda Campanar 21, E-46009 Valencia, Spain Univ Valencia Avda Campanar 21 Valencia Spain E-46009 , Spain
Citazione:
R. Menendez et al., "Initial risk class and length of hospital stay in community-acquired pneumonia", EUR RESP J, 18(1), 2001, pp. 151-156

Abstract

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 factorsassociated 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 prolongedhospitalization were classified as pneumonia-related, complications, unstable comorbid diseases and nonclinical factors. The overall percentage of patients with appropriate duration of hospitalization was set at 5 and 7 days respectively. The 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 hwere associated with prolonged hospitalization. The cause of prolonged hospitalization of patients with community-acquiredpneumonia 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.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 17:13:32