[Analysis of pediatric «short stays» in a second-level hospital throughout 25 years].

Autor:	Doval Alcalde I; Centro de Salud Bombero Etxaniz, Servicio Vasco de Salud, Bilbao, Vizcaya, España. Electronic address: iraia.dovalalcalde@osakidetza.eus., Corral Hospital S; Servicio de Pediatría, Hospital Valle del Nalón, Langreo, Asturias, España., González García C; Centro de Salud Sodupe, Servicio Vasco de Salud, Sodupe, Vizcaya, España., Soltero Carracedo JF; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España., Macías Panedas A; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España., Andrés de Llano JM; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España., Barrio Alonso MP; Servicio de Pediatría, Complejo Asistencial Universitario de Palencia, Palencia, España.
Jazyk:	Spanish; Castilian
Zdroj:	Journal of healthcare quality research [J Healthc Qual Res] 2023 May-Jun; Vol. 38 (3), pp. 158-164. Date of Electronic Publication: 2022 Dec 20.
DOI:	10.1016/j.jhqr.2022.11.003
Abstrakt:	Introduction: It is essential to admit patients to hospital in an efficient way in order to use resources rationally. Short hospitalary stays are hospitalizations which does not include 00:00h and are considered avoidable. This study describes trends and characteristics of short stays throughout 25 years in our hospital. Patients and Methods: We analyzed hospital pediatric discharges in a second-level hospital through the registration system «conjunto mínimo básico de datos». We categorized pediatric patients and newborn patients in two groups according to length of hospital stay: «short stays» and «prolonged stays». We analyzed and compared the following variables: gender, age, type of admission, month, diagnosis-related groups (DRG) and admission service. Binary logistic regression analysis and assessment of trends through joinpoint regression analysis were performed. Results: From 1993 to 2017, 45710 children were admitted to our hospital, of which 7.3% were short stays. The trend analysis showed a point of change upwards-downwards at the beginning of the millennium. Pediatric short stays: the most important variables were emergency admissions (89%), urgent transfers (9%), month December (11%) and main diagnosis category: nervous system (18%). Mean diagnosis-related groups cost was 2432±1115€ in short stays group and 2549±1065€ in prolonged stays. Conclusions: Short stays and prolonged stays show a falling trend in our hospital. Short stays percentage in our environment is similar to other neighbor countries. Some of our short stays are urgent transfers and admissions for clinical observation. We did not find clinical significance in weight or cost of pediatric patients' DRG comparing to prolonged stays. (Copyright © 2022 FECA. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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