Abstract:
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 <45 age group. Sex and an incorrect or incomplete nursing register did not show such an association. CONCLUSION:The inappropriate use of hospital stay during preoperatory care affects almost half the period and there are some risk determinants that could act as indicators at admission. In addition, the efficiency of care provision was found to vary greatly from the point of view of its appropriateness.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Tamames S,Perez Rubio A,Castrodeza Sanz J,Canton Alvarez MB,Luquero FJ,Santos Sanz S,Lopez Encinar P,de la Torre Pardo MP,Gil Gonzalez JMdoi
10.1186/1472-6963-7-187subject
Has Abstractpub_date
2007-11-19 00:00:00pages
187issn
1472-6963pii
1472-6963-7-187journal_volume
7pub_type
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