Analysis of the appropriateness of hospitalizations in Monastir, Tunisia

Autor:	M. Letaief, N. Hergli, Mohamed Soltani, K. Ben Salem, N. Riahi
Rok vydání:	2005
Předmět:	Sensory motor Pediatrics medicine.medical_specialty Patient age business.industry Medicine General Medicine Parenteral therapy business Hospital use
Zdroj:	Eastern Mediterranean Health Journal. 11:435-441
ISSN:	1687-1634 1020-3397
Popis:	We aimed to measure the extent of inappropriate hospital admissions and to identify factors associated with inappropriate hospital use. A descriptive study was carried out on a randomized sample of 411 hospitalizations in 3 regional hospitals. The appropriateness of admissions was assessed using the Appropriateness Evaluation Protocol (AEP). We found 21% (95% CI: 17%-25%) of the admissions were avoidable according to the AEP. Inappropriate admissions were associated with the hospital (P = 0.005), patient age (P = 0.003), length of stay and diagnosis (P < 0.001). The most frequent reasons for appropriate admissions were parenteral therapy, an acute or progressive sensory motor circulatory or respiratory condition sufficient to incapacitate the patient and severe electrolyte or blood gas abnormality. Our study highlights the need to improve hospital management and to develop alternatives to hospitalization.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::2d622ce1d63197ed3104d1668b57300a https://doi.org/10.26719/2005.11.3.435 Zobrazit plný text záznamu