Admission criteria for a cardiovascular short stay unit: a retrospective analysis on a pilot unit.
Aged
Aged, 80 and over
Cardiovascular Nursing
/ organization & administration
Female
Humans
Length of Stay
/ statistics & numerical data
Logistic Models
Male
Middle Aged
Patient Admission
/ statistics & numerical data
Patient Selection
Patients' Rooms
/ organization & administration
Retrospective Studies
Risk Factors
Acute medical unit
Admission criteria
Length of stay
Short stay unit
Journal
Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
19
10
2020
accepted:
05
03
2021
pubmed:
27
3
2021
medline:
30
11
2021
entrez:
26
3
2021
Statut:
ppublish
Résumé
Rapid intensive observation (RIO) units have been created to guarantee high standards of care in a sustainable health-care system. Within short stay units (SSUs), which are a subgroup of RIOs, only rapidly manageable patients should be admitted. Physicians are unable to predict the length of stay (LOS) as objective criteria to make such a prediction are missing. A retrospective observational study was carried out to identify the objective criteria for admission within a cardiovascular care-oriented SSU. Over a period of 317 days, 340 patients (age 69.4 ± 14.7 years) were admitted to a pilot SSU within our internal medicine department. The most frequent diagnoses were chest pain (45.9%), syncope (12.9%), and supraventricular arrhythmias (11.2%). The median LOS was 4 days (quartile 1:3; quartile 3:7). Predictors of LOS ≤ 96 h were age < 80, hemoglobin > 115 g/L, estimated glomerular filtration rate > 45 mL/min/1.73 m
Identifiants
pubmed: 33770369
doi: 10.1007/s11739-021-02700-4
pii: 10.1007/s11739-021-02700-4
pmc: PMC8563614
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2087-2095Informations de copyright
© 2021. The Author(s).
Références
Clin Med (Lond). 2009 Dec;9(6):553-6
pubmed: 20095297
Md State Med J. 1965 Feb;14:61-5
pubmed: 14258950
CMAJ. 2000 Nov 28;163(11):1477-80
pubmed: 11192657
Eur Heart J. 2000 Mar;21(5):397-406
pubmed: 10666354
PLoS One. 2014 Dec 03;9(12):e112479
pubmed: 25469987
Emerg Med Int. 2012;2012:824674
pubmed: 22319649
Ir J Med Sci. 2009 Dec;178(4):433-9
pubmed: 19437091
Dan Med Bull. 2011 Aug;58(8):A4298
pubmed: 21827721
Int J Qual Health Care. 2016 Feb;28(1):99-103
pubmed: 26668104
Neth Heart J. 2008 Jun;16(6):191-6
pubmed: 18665203
Intern Emerg Med. 2011 Oct;6 Suppl 1:85-92
pubmed: 22009617
J Hosp Med. 2016 Sep;11(9):642-5
pubmed: 27187036
Age Ageing. 2018 Nov 1;47(6):810-817
pubmed: 29905758
Intern Med J. 2012 Jan;42(1):51-6
pubmed: 20681959
QJM. 2008 Jun;101(6):457-65
pubmed: 18319292
Scand J Trauma Resusc Emerg Med. 2017 Aug 15;25(1):80
pubmed: 28810888
Aust Health Rev. 2009 Aug;33(3):502-12
pubmed: 20128769
Clin J Am Soc Nephrol. 2012 Mar;7(3):409-16
pubmed: 22266573
Aust Health Rev. 2010 Aug;34(3):334-9
pubmed: 20797367
PLoS One. 2015 Dec 30;10(12):e0145372
pubmed: 26716440
J Clin Med. 2020 Mar 30;9(4):
pubmed: 32235484
Clin Med (Lond). 2008 Feb;8(1):18-20
pubmed: 18335661
Int J Qual Health Care. 2009 Dec;21(6):397-407
pubmed: 19903756
Eur J Intern Med. 2017 Apr;39:24-31
pubmed: 27843036