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http://hdl.handle.net/2445/119414
Title: | Community-acquired pneumonia management in a short-stay unit: analysis of safety and efficacy |
Author: | Juan i Pastor, Antoni Jacob, Javier Llopis Roca, Ferran Gómez Vaquero, Carmen Ferré, Carles Pérez-Mas, Joan Ramon Palom, Xavier Giol, Jordi Ramon Torrell, Josep M. (Josep Maria) Salazar Soler, Albert Corbella, Xavier |
Keywords: | Pneumònia adquirida a la comunitat Assistència hospitalària Serveis d'urgències hospitalàries Gestió hospitalària Community-acquired pneumonia Hospital care Hospital emergency services Hospital administration |
Issue Date: | Jun-2011 |
Publisher: | Saned |
Abstract: | Background and objective: Community-acquired pneumonia (CAP) is a highly prevalent disease that often requires hospital admission. We aimed to assess the safety and efficacy of treating CAP in a short-stay unit as an alternative to conventional hospitalization. Methods: Retrospective comparison of patients admitted to a tertiary care hospital with a diagnosis of CAP between November 2005 and April 2007. We compared outcomes for cases managed in the 2 locations (short-stay unit vs conventional hospital ward), excluding patients who required intensive care. Variables and outcomes analyzed were age, sex, Charlson index, mean weight in the diagnosis-related group, scores on the CURB-65 criteria and the Pneumonia Severity Index (PSI), findings of microbiology, and readmission and mortality rates. Results: A total of 606 patients were studied; 187 were treated in the short-stay unit and 419 were admitted to the conventional ward. The main significant differences between the 2 groups were mean age (77.3 vs 67.9 years, respectively; P<.0001) and mean stay (3.48 vs 7.89 days; P<.0001). These differences were also reflected in the comparison between severity subgroups (by PSI). Mortality rates did not differ. Conclusions: Our experience with the short-stay unit suggests it offers a safe and effective way to manage CAP and leads to a significantly shorter hospital stay in comparison with conventional hospitalization, without increasing readmission and mortality rates. |
Note: | Podeu consultar la versió en castellà a: http://hdl.handle.net/2445/119397 |
Note: | Reproducció del document publicat a: http://emergencias.portalsemes.org/numeros-anteriores/volumen-23/numero-3/community-acquired-pneumonia-management-in-a-short-stay-unit-analysis-of-saf |
It is part of: | Emergencias, 2011, vol. 23, num. 3, p. 175-182 |
URI: | http://hdl.handle.net/2445/119414 |
Related resource: | http://hdl.handle.net/2445/119397 |
ISSN: | 1137-6821 |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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607891.pdf | 75.98 kB | Adobe PDF | View/Open |
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