PMID- 10984985
OWN - NLM
STAT- MEDLINE
DCOM- 20001026
LR  - 20190921
IS  - 0213-9111 (Print)
IS  - 0213-9111 (Linking)
VI  - 14
IP  - 3
DP  - 2000 May-Jun
TI  - [Intensity of care during inappropriate hospital stay: Research Project in 
      Nursing and Appropriateness Evaluation Protocol].
PG  - 210-7
AB  - OBJECTIVE: To determine the proportion of inappropriate hospital stays, their 
      typology and the level of nursing care in Diagnosis Related Groups(DRG). To 
      evaluate the use of the PRN (Project Research in Nursing) register forms, when 
      determining AEP (Appropriateness Evaluation Protocol). METHOD: A cross-sectional 
      study was performed on 494 patients classified with one of the 10 more frequent 
      DRG in the hospital from February to July 1997. Information from patient clinical 
      histories, PRN register forms, sociodemographic data, and nursing care activities 
      were used. The appropriateness of hospital stay to AEP was assessed on the day 
      prior to discharge. Comparison of inappropriate stays with appropriate stays was 
      performed by chi-square test for categorical variables and Student t-test for 
      continuous variables. The independent associated factors with inappropriateness 
      of hospital stay, were estimated using a log regression model. RESULTS: Out of 
      417 valid cases, hospital stay was considered appropriate in 269 (64.5%) patients 
      and inappropriate in 148 (35.5%) patients. Mean-age of inappropriate stays was 
      significantly higher than that of appropriate stays (70.06 +/- 13.84 vs 61.57 +/- 
      15.07, p < 0.05). Care intensity for inappropriate stays was larger than that of 
      appropriate stays (median 137 [minimal value 45, maximal value 355] vs median 95 
      [minimal value 35, maximal value 131] p < 0.001). Care time in mobilization, 
      elimination and hygiene activities was longer in inappropriate stays than in 
      appropriate stays. In a log regression model, the age, feeding care intensity, 
      therapy care intensity and DRG assigned to each process were independent 
      predictive factors of inappropriate stays. For application of AEP, 56.9% of cases 
      were reviewed using PRN register forms and 43.1% were reviewed using the case 
      history. CONCLUSIONS: From the DRG examined, patients who undertook inappropriate 
      stays consumed a large intensity of nursing basic activities; therefore, they may 
      be candidates for receiving home care and/or sociosanitary care. PRN register 
      forms afforded a decreased review time on applying the AEP.
FAU - Ferrus, L
AU  - Ferrus L
AD  - L'Hospital de la Creu Roja. Lena.Ferrus@chcr.scs.es
FAU - Honrado, G
AU  - Honrado G
FAU - Pescador, M T
AU  - Pescador MT
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Intensidad de cuidados durante las estancias hospitalarias inapropiadas: Project 
      Research in Nursing y Appropriateness Evaluation Protocol.
PL  - Spain
TA  - Gac Sanit
JT  - Gaceta sanitaria
JID - 8901623
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Diagnosis-Related Groups
MH  - Female
MH  - Health Services Misuse/*statistics & numerical data
MH  - *Hospitalization
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Spain
EDAT- 2000/09/14 11:00
MHDA- 2001/02/28 10:01
CRDT- 2000/09/14 11:00
PHST- 2000/09/14 11:00 [pubmed]
PHST- 2001/02/28 10:01 [medline]
PHST- 2000/09/14 11:00 [entrez]
AID - S0213-9111(00)71461-0 [pii]
AID - 10.1016/s0213-9111(00)71461-0 [doi]
PST - ppublish
SO  - Gac Sanit. 2000 May-Jun;14(3):210-7. doi: 10.1016/s0213-9111(00)71461-0.