Impact of a one-stop rapid access venous ulcer clinic on inpatient admissions.
| Autor: | Cr K; Lambe Institute for Translational Research, National University of Ireland Galway, Galway, Ireland., M A; University Hospital Galway, Galway, Ireland., Mp O; Roscommon University Hospital, Roscommon, Ireland., Dp J; University Hospital Galway, Galway, Ireland., W T; Lambe Institute for Translational Research, National University of Ireland Galway, Galway, Ireland.; University Hospital Galway, Galway, Ireland., Ma T; Lambe Institute for Translational Research, National University of Ireland Galway, Galway, Ireland.; University Hospital Galway, Galway, Ireland., Sr W; Lambe Institute for Translational Research, National University of Ireland Galway, Galway, Ireland.; University Hospital Galway, Galway, Ireland. |
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| Jazyk: | angličtina |
| Zdroj: | Phlebology [Phlebology] 2023 Jun; Vol. 38 (5), pp. 341-347. Date of Electronic Publication: 2023 May 09. |
| DOI: | 10.1177/02683555231174995 |
| Abstrakt: | Objectives: Venous leg ulcers (VLU) are prevalent and require a large investment of resources to manage. We investigated whether the introduction of a rapid access see-and-treat clinic for VLU patients affected rates of unplanned inpatient admissions with VLU. Methods: The Hospital Inpatient Enquiry database was consulted for data on admission rates, length of stay, bed-days used, and costs, across a 4-year period; 2 years since the introduction of the clinic, and the 2 years prior as a control. Results: Two hundred and eighteen patients admitted with VLU accounted for 2,529 inpatient bed-days, 4.5 (2-6) admissions per month, and a median hospital stay of 7 (4-13) days across the study period. Median admissions decreased from 6 (2.5-8.5) per month before, to 3.5 (2-5) after introduction of the clinic ( p = 0.04). Bed-day usage fell from 62.5 (27-92.5), to 36.5 (21-44) days per month ( p = 0.035). Conclusions: Admissions and bed-day usage for inpatient management of VLU fell after commencing a one-stop, rapid access clinic. |
| Databáze: | MEDLINE |
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