Length of stay in Acute Medical Admissions: Analysis from the Society for Acute Medicine Benchmarking Audit.
Length of stay in Acute Medical Admissions: Analysis from the Society for Acute Medicine Benchmarking Audit.
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DOI：
10.52964/amja.0889
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发表时间：
2022-01-01
期刊：
影响因子：
--
通讯作者：
Lasserson, D
中科院分区：
文献类型：
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作者：
Atkin, C;Knight, T;Lasserson, D
简介：入院治疗代表了各种各样的患者，从通过当天紧急护理（SDEC）服务在门诊路径上管理的患者到需要长期住院的患者。通过急性医学服务和患者因素与较长的住院时间入院入院的当前模式的理解是必要的，以指导服务规划和improvement.METHODS：从社会急性医学基准审计（桑巴舞）2021年的数据进行了分析。纳入了2021年6月17日在24小时内接受急性医学服务的患者，数据记录了患者人口统计学，虚弱评分，敏锐度和7天后的随访结果。结果：纳入了来自156家医院的8101例计划外医疗入院。31.6%的患者出院，未过夜住院;中位住院表现为30.1%（IQR 19.3-39.3%）。22.1%的患者住院时间超过7天。那些留在医院超过48小时，超过7天，更有可能是年龄超过70岁，身体虚弱，或有一个NEWS 2 3或以上的到达hospital.CONCLUSION：比例急性医疗就诊接受过夜入院医院之间的变化。住院时间受患者因素和病情严重程度的影响。减少住院服务压力的策略必须确保对老年患者和体弱患者的有效护理。
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.