TY - JOUR
T1 - Factors associated with the appropriate use of preoperatory hospital stays
T2 - Historical cohort study
AU - Tamames, Sonia
AU - Perez Rubio, Alberto
AU - Castrodeza Sanz, Javier
AU - Canton Alvarez, Maria Belen
AU - Luquero, Francisco J.
AU - Santos Sanz, Sara
AU - Lopez Encinar, Placido
AU - De La Torre Pardo, Maria Paz
AU - Gil Gonzalez, Juan Manuel
PY - 2007
Y1 - 2007
N2 - Background. To ensure the highest efficiency, health services should be provided with the least possible complexity. The aim of this study is to quantify the degree of appropriateness in preoperatory hospital stays and to analyse those factors associated with a greater inappropriate use. Methods. Historical cohort study. The histories of 440 hospitalised patients who underwent at least one surgical procedure were analysed. Data collection was carried out by doctors not involved in the services studied, following the Appropriateness Evaluation Protocol. A bivariate and multivariate analysis of the factors associated with the appropriateness of preoperatory stays was carried out. Results. The mean number of days of preoperatory stay was 5.5 (SD 5.11), of which a mean number of 2.5 days were considered to be inappropriate (SD 4.11). The overall rate of inappropriateness was 45.2% (CI 95% 43.3-47.1). The multivariate analysis showed a positive association of the inappropriateness of the preoperatory stay with weekend days, programmed admission, hospital stays longer than 7 days, medical records incorrectly or incompletely documented and the age groups of 45-65 and the >65 with respect to the
AB - Background. To ensure the highest efficiency, health services should be provided with the least possible complexity. The aim of this study is to quantify the degree of appropriateness in preoperatory hospital stays and to analyse those factors associated with a greater inappropriate use. Methods. Historical cohort study. The histories of 440 hospitalised patients who underwent at least one surgical procedure were analysed. Data collection was carried out by doctors not involved in the services studied, following the Appropriateness Evaluation Protocol. A bivariate and multivariate analysis of the factors associated with the appropriateness of preoperatory stays was carried out. Results. The mean number of days of preoperatory stay was 5.5 (SD 5.11), of which a mean number of 2.5 days were considered to be inappropriate (SD 4.11). The overall rate of inappropriateness was 45.2% (CI 95% 43.3-47.1). The multivariate analysis showed a positive association of the inappropriateness of the preoperatory stay with weekend days, programmed admission, hospital stays longer than 7 days, medical records incorrectly or incompletely documented and the age groups of 45-65 and the >65 with respect to the
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U2 - 10.1186/1472-6963-7-187
DO - 10.1186/1472-6963-7-187
M3 - Article
C2 - 18021440
AN - SCOPUS:38649125544
SN - 1472-6963
VL - 7
JO - BMC Health Services Research
JF - BMC Health Services Research
M1 - 187
ER -