Hospital out-lying through lack of beds and its impact on care and patient outcome
Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate spe...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Stowell, Andrew [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Anmerkung: |
© Stowell et al.; licensee BioMed Central Ltd. 2013 |
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| Übergeordnetes Werk: |
Enthalten in: Scandinavian journal of trauma, resuscitation and emergency medicine - London : BioMed Central, 2008, 21(2013), 1 vom: 14. März |
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| Übergeordnetes Werk: |
volume:21 ; year:2013 ; number:1 ; day:14 ; month:03 |
| Links: |
|---|
| DOI / URN: |
10.1186/1757-7241-21-17 |
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| Katalog-ID: |
SPR029679478 |
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| 520 | |a Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. | ||
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| 700 | 1 | |a Sebbane, Mustapha |4 aut | |
| 700 | 1 | |a Bobbia, Xavier |4 aut | |
| 700 | 1 | |a Boyard, Charlotte |4 aut | |
| 700 | 1 | |a Genre Grandpierre, Romain |4 aut | |
| 700 | 1 | |a Moreau, Alexandre |4 aut | |
| 700 | 1 | |a de La Coussaye, Jean-Emmanuel |4 aut | |
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10.1186/1757-7241-21-17 doi (DE-627)SPR029679478 (SPR)1757-7241-21-17-e DE-627 ger DE-627 rakwb eng Stowell, Andrew verfasserin aut Hospital out-lying through lack of beds and its impact on care and patient outcome 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Stowell et al.; licensee BioMed Central Ltd. 2013 Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. Emergency service (dpeaa)DE-He213 Hospital bed capacity (dpeaa)DE-He213 Patient admission (dpeaa)DE-He213 Hospitals (dpeaa)DE-He213 Organization (dpeaa)DE-He213 Claret, Pierre-Geraud aut Sebbane, Mustapha aut Bobbia, Xavier aut Boyard, Charlotte aut Genre Grandpierre, Romain aut Moreau, Alexandre aut de La Coussaye, Jean-Emmanuel aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 14. März (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:14 month:03 https://dx.doi.org/10.1186/1757-7241-21-17 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 14 03 |
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10.1186/1757-7241-21-17 doi (DE-627)SPR029679478 (SPR)1757-7241-21-17-e DE-627 ger DE-627 rakwb eng Stowell, Andrew verfasserin aut Hospital out-lying through lack of beds and its impact on care and patient outcome 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Stowell et al.; licensee BioMed Central Ltd. 2013 Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. Emergency service (dpeaa)DE-He213 Hospital bed capacity (dpeaa)DE-He213 Patient admission (dpeaa)DE-He213 Hospitals (dpeaa)DE-He213 Organization (dpeaa)DE-He213 Claret, Pierre-Geraud aut Sebbane, Mustapha aut Bobbia, Xavier aut Boyard, Charlotte aut Genre Grandpierre, Romain aut Moreau, Alexandre aut de La Coussaye, Jean-Emmanuel aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 14. März (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:14 month:03 https://dx.doi.org/10.1186/1757-7241-21-17 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 14 03 |
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10.1186/1757-7241-21-17 doi (DE-627)SPR029679478 (SPR)1757-7241-21-17-e DE-627 ger DE-627 rakwb eng Stowell, Andrew verfasserin aut Hospital out-lying through lack of beds and its impact on care and patient outcome 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Stowell et al.; licensee BioMed Central Ltd. 2013 Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. Emergency service (dpeaa)DE-He213 Hospital bed capacity (dpeaa)DE-He213 Patient admission (dpeaa)DE-He213 Hospitals (dpeaa)DE-He213 Organization (dpeaa)DE-He213 Claret, Pierre-Geraud aut Sebbane, Mustapha aut Bobbia, Xavier aut Boyard, Charlotte aut Genre Grandpierre, Romain aut Moreau, Alexandre aut de La Coussaye, Jean-Emmanuel aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 14. März (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:14 month:03 https://dx.doi.org/10.1186/1757-7241-21-17 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 14 03 |
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10.1186/1757-7241-21-17 doi (DE-627)SPR029679478 (SPR)1757-7241-21-17-e DE-627 ger DE-627 rakwb eng Stowell, Andrew verfasserin aut Hospital out-lying through lack of beds and its impact on care and patient outcome 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Stowell et al.; licensee BioMed Central Ltd. 2013 Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. Emergency service (dpeaa)DE-He213 Hospital bed capacity (dpeaa)DE-He213 Patient admission (dpeaa)DE-He213 Hospitals (dpeaa)DE-He213 Organization (dpeaa)DE-He213 Claret, Pierre-Geraud aut Sebbane, Mustapha aut Bobbia, Xavier aut Boyard, Charlotte aut Genre Grandpierre, Romain aut Moreau, Alexandre aut de La Coussaye, Jean-Emmanuel aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 14. März (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:14 month:03 https://dx.doi.org/10.1186/1757-7241-21-17 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 14 03 |
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10.1186/1757-7241-21-17 doi (DE-627)SPR029679478 (SPR)1757-7241-21-17-e DE-627 ger DE-627 rakwb eng Stowell, Andrew verfasserin aut Hospital out-lying through lack of beds and its impact on care and patient outcome 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Stowell et al.; licensee BioMed Central Ltd. 2013 Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. Emergency service (dpeaa)DE-He213 Hospital bed capacity (dpeaa)DE-He213 Patient admission (dpeaa)DE-He213 Hospitals (dpeaa)DE-He213 Organization (dpeaa)DE-He213 Claret, Pierre-Geraud aut Sebbane, Mustapha aut Bobbia, Xavier aut Boyard, Charlotte aut Genre Grandpierre, Romain aut Moreau, Alexandre aut de La Coussaye, Jean-Emmanuel aut Enthalten in Scandinavian journal of trauma, resuscitation and emergency medicine London : BioMed Central, 2008 21(2013), 1 vom: 14. März (DE-627)582019125 (DE-600)2455990-8 1757-7241 nnns volume:21 year:2013 number:1 day:14 month:03 https://dx.doi.org/10.1186/1757-7241-21-17 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 21 2013 1 14 03 |
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Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). 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hospital out-lying through lack of beds and its impact on care and patient outcome |
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Hospital out-lying through lack of beds and its impact on care and patient outcome |
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Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. © Stowell et al.; licensee BioMed Central Ltd. 2013 |
| abstractGer |
Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. © Stowell et al.; licensee BioMed Central Ltd. 2013 |
| abstract_unstemmed |
Background When medical wards become saturated, the common practice is to resort to outlying patients in another ward until a bed becomes free. Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). Conclusion O patients had a worse prognosis than NO patients. © Stowell et al.; licensee BioMed Central Ltd. 2013 |
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Objectives Compare the quality of care provided for inpatients who are outlying (O) in inappropriate wards because of lack of vacant beds in appropriate specialty wards to the care given to non outlying (NO) patients. Methods We propose a matched-pair cluster study. The exposed group consisted of inpatients that were outliers in inappropriate wards because of lack of available beds. Non-exposed subjects (the control group) were those patients who were hospitalized in the ward that corresponded to the reason for their admission. Each patient of the exposed group was matched to a specific control subject. The principal objective was to prospectively measure differences in the length of hospital stays, the secondary objectives were to assess mortality, rate of re-admission at 28 days, and rate of transfer into intensive care. Results 238 were included in the NO group, 245 in the O group. More patients in the O group (86% vs 76%) were transferred into a ward with prescription completed. O patients remained in hospital for 8 days [4-15] vs 7 days [4-13] for NO patients (p = 0.04). 124 (52%) of the NO patients received heparin-based thromboembolic prevention during their stay in hospital vs 104 (42%) of the O patient group (p = 0.03). 66 (27%) O patients were re-admitted to hospital within 28 days vs 40 (17%) NO patients (p = 0.008). 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