Your browser doesn't support javascript.
loading
Length of stay in Acute Medical Admissions: Analysis from the Society for Acute Medicine Benchmarking Audit.
Atkin, C; Knight, T; Cooksley, T; Holland, M; Subbe, C; Kennedy, A; Varia, R; Lasserson, D.
Afiliación
  • Atkin C; Birmingham Acute Care Research Group, Institute of Inflammation and Ageing, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK. ORCiD ID = 0000-0003-0596-8515.
  • Knight T; Birmingham Acute Care Research Group, Institute of Inflammation and Ageing, University of Birmingham, Edgbaston, Birmingham, B15 2GW, UK. ORCiD ID = 0000-0003-0596-8515.
  • Cooksley T; Departments of Acute Medicine, Manchester University NHS Foundation Trust, UK, M23 9LT and The Christie, Manchester, M20 4BX, UK. ORCID ID: 0000-0001-6114-1956.
  • Holland M; Clinical and Biomedical Sciences, Faculty of Health and Wellbeing, University of Bolton, BL3 5AB, UK. ORCID iD: 0000-0001-8336-5336.
  • Subbe C; School of Medical Sciences, Bangor University & Consultant Acute, Respiratory & Critical Care Medicine, Ysbyty Gwynedd, Bangor, LL57 2PW, UK. ORCID iD: 0000-0002-3110-8888.
  • Kennedy A; Department of Acute Medicine, Airedale Hospital NHS Foundation Trust, Keighley, West Yorkshire, BD20 6TD.
  • Varia R; Department of Acute Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, L35 5DR.
  • Lasserson D; Division of Health Sciences, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK.
Acute Med ; 21(1): 27-33, 2022.
Article en En | MEDLINE | ID: mdl-35342907
INTRODUCTION: Medical admissions to hospital represent a diverse range of patients, from those managed on ambulatory pathways through Same Day Emergency Care (SDEC) services, to those requiring prolonged inpatient admission. An understanding of current patterns of admission through acute medicine services and patient factors associated with longer hospital admission is needed to guide service planning and improvement. METHODS: Data from the Society for Acute Medicine Benchmarking Audit (SAMBA) 2021 were analysed. Patients admitted to acute medicine services during a 24-hour period on 17th June 2021 were included, with data recording patient demographics, frailty score, acuity and follow-up of outcomes after seven days. RESULTS: 8101 unplanned medical admissions were included, from 156 hospitals. 31.6% were discharged without overnight admission; the median hospital performance was 30.1% (IQR 19.3-39.3%). 22.1% of patients remained in hospital for more than 7 days. Those remaining in hospital for more than 48 hours and for more than seven days were more likely to be aged over 70, to be frail, or to have a NEWS2 of 3 or more on arrival to hospital. CONCLUSION: The proportion of acute medical attendances receiving overnight admission varies between hospitals. Length of stay is impacted by patient factors and illness acuity. Strategies to reduce inpatient service pressures must ensure effective care for older patients and those with frailty.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Benchmarking / Hospitalización Límite: Aged / Humans Idioma: En Revista: Acute Med Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Benchmarking / Hospitalización Límite: Aged / Humans Idioma: En Revista: Acute Med Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido