Comparisons of Clinical Outcomes between Weekday-Only and Full-Time, 24-Hour/7-Day Coverage Hospitalist Systems.
Adult
Aged
Aged, 80 and over
Emergency Service, Hospital
Female
Hospital Mortality
Hospitalists
/ statistics & numerical data
Hospitalization
/ statistics & numerical data
Humans
Intensive Care Units
Length of Stay
Male
Middle Aged
Odds Ratio
Patient Admission
Republic of Korea
Retrospective Studies
Hospital Medicine
Hospitalists
Length of Stay
Mortality
Journal
Journal of Korean medical science
ISSN: 1598-6357
Titre abrégé: J Korean Med Sci
Pays: Korea (South)
ID NLM: 8703518
Informations de publication
Date de publication:
11 May 2020
11 May 2020
Historique:
received:
29
10
2019
accepted:
27
02
2020
entrez:
9
5
2020
pubmed:
10
5
2020
medline:
21
1
2021
Statut:
epublish
Résumé
Since the launch of pilot programs in 2016, varying ranges of hospitalist coverage exist in Korea. We evaluated the effects of differing depths of hospitalist coverage on clinical outcomes. This study retrospectively reviewed the records of 513 patients admitted to a medical hospitalist unit through emergency department at Seoul National University Hospital. The full-time group included patients admitted in 2018 who received 24/7 hospitalist service, whereas the weekday group included patients admitted in 2019 with only weekday hospitalist service. In-hospital clinical outcomes were compared between the two groups. Unplanned intensive care unit admission rate was lower in the full-time group than in the weekday group (0.4% vs. 2.9%; Uninterrupted weekend coverage hospitalist service is helpful for care-plan decision and timely care transitions for acutely and severely ill patients.
Sections du résumé
BACKGROUND
BACKGROUND
Since the launch of pilot programs in 2016, varying ranges of hospitalist coverage exist in Korea. We evaluated the effects of differing depths of hospitalist coverage on clinical outcomes.
METHODS
METHODS
This study retrospectively reviewed the records of 513 patients admitted to a medical hospitalist unit through emergency department at Seoul National University Hospital. The full-time group included patients admitted in 2018 who received 24/7 hospitalist service, whereas the weekday group included patients admitted in 2019 with only weekday hospitalist service. In-hospital clinical outcomes were compared between the two groups.
RESULTS
RESULTS
Unplanned intensive care unit admission rate was lower in the full-time group than in the weekday group (0.4% vs. 2.9%;
CONCLUSION
CONCLUSIONS
Uninterrupted weekend coverage hospitalist service is helpful for care-plan decision and timely care transitions for acutely and severely ill patients.
Identifiants
pubmed: 32383363
pii: 35.e117
doi: 10.3346/jkms.2020.35.e117
pmc: PMC7211511
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e117Informations de copyright
© 2020 The Korean Academy of Medical Sciences.
Déclaration de conflit d'intérêts
The authors have no potential conflicts of interest to disclose.
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