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Risk Factors Associated with Prolonged Length of Stay in a Brazilian Secondary Community Hospital Fernando Waldemar, MD, FHM*1; Luciano Passamani Diogo, MD, Ph.D1; Laura Fuchs Bahlis, MD1; André Wajner, MD, MSc1; José Augusto Santos Pellegrini, MD1; Fabricio Fonseca, MD1; Vinicius Sabedot Soares, MD1; Jean Ernandorena, MD1 and Marcio Fernando Spagnol, MD1 1Hospital
Montenegro, Montenegro, Brazil
Meeting: SHM Annual Meeting 2015 Abstract number: 218 Keywords: Research Abstracts Background: Prolonged length of stay is associated with increased costs and decreased quality of care and patient satisfaction. Patient data regarding clinical characteristics and outcomes in non-teaching community hospitals are scant in Brazil.
Related Abstracts Mortality Reduction of Hospital Medicine
Methods: We conducted a retrospective cohort analysis of all patients admitted to a hospital medicine service in a middle size community hospital in southern Brazil from May 2013 to October 2014. Our aim was to identify risk
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Patients After ICU Opening in a Middle Size Community Hospital in Southern Brazil Impact of Prolonged Hospitalizations on Overall Length of Stay for General Medicine Patients
factors associated with a length of stay of 10 days or more. Our data base comprises data on socio-demographic and clinical characteristics, patient comorbidities and disease severity index. We also measured patient outcomes like length of stay, ICU transfers, death or hospital discharge. Statistical analyses include descriptive statistics, with variables expressed as the mean±standard deviation (SD).
Results: We had a total of 2280 admissions. Mean age was 63±19.6 years and the mean length of stay was 6.8±8.2 days with a median of 4 days. Risk factors associated with prolonged length of stay (10 or more days) were: respiratory disease as the main diagnosis [OR 1.6 CI95% (1.2-2.1)], AIDS [OR 4.1 CI95%(1.8-9.8)], Charlson Comorbidity Index above 3 [OR 2.6 CI95%(2.0-3.4)], surgical procedure during hospitalization [OR 5.5 CI95%(3.6-8.4)], Dialysis [OR 4.1 CI95%(1.8-9.6)] Antibiotic Prescription [OR 3.4 CI95%(2.2-5.2)] and ICU transfer [OR 3.9 CI95%(2.8-5.2)]. Diabetes Mellitus Is Not a Risk Factor for Mortality in Hospitalized Patients
Conclusions: Our ꫞�ndings show that risk factors associated with prolonged length of stay in our patient group are illness severity, the need to undergone any surgical procedure or the need to undergo hemodialysis and the use of antibiotics. This knowledge is currently helping us develop strategies to reduce length of stay. Tweet
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To cite this abstract in AMA style: Waldemar F, Diogo L, Bahlis L, Wajner A, Pellegrini J, Fonseca F, Soares V, Ernandorena J, Spagnol M. Risk Factors Associated with Prolonged Length of Stay in a Brazilian Secondary Community Hospital [abstract]. Journal of Hospital Medicine. 2015; 10 (suppl 2). http://www.shmabstracts.com/abstract/risk-factors-associatedwith-prolonged-length-of-stay-in-a-brazilian-secondary-community-hospital/. Accessed November 12, 2016.
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