PMID- 30442485
OWN - NLM
STAT- MEDLINE
DCOM- 20200507
LR  - 20200507
IS  - 1578-1747 (Electronic)
IS  - 0211-139X (Linking)
VI  - 54
IP  - 2
DP  - 2019 Mar-Apr
TI  - [Efficiency of the acute geriatric units compared to the rest of the hospital 
      departments. A 5-year audit of the case-mix adjusted for diagnosis-related 
      group].
PG  - 94-98
LID - S0211-139X(18)30676-0 [pii]
LID - 10.1016/j.regg.2018.09.007 [doi]
AB  - INTRODUCTION: Hospital occupancy rate by older patients is high, and it will be 
      even higher in the future. Their hospital stay is usually longer, making it 
      important for hospitals to develop structures with the best efficiency possible. 
      METHOD: Hospital discharges of patients older than 75years with the 15 most 
      frequent Diagnosis-Related Groups (DRG) in Geriatrics were recorded during a 
      5-year period in a 1,200-bed hospital. Length of stay was compared between the 
      two acute geriatric units (AGU), one in the general hospital (GH) and another in 
      an affiliate hospital (AH), as well as with the rest of departments. RESULTS: A 
      total of 14,948 discharged patients were included. Length of stay was 2.9 (25%) 
      days shorter in AGU units than in the rest of departments. Differences were 22% 
      (9.2 vs 11.7days) in 2011, 16% (9.3 vs 11.1days) in 2012, 21% (9.3 vs 11.1days) 
      in 2013, 34% (7.4 vs 11.1days) in 2014, and 25% (8.3 vs 11days) in 2015 in the 
      GH. Differences were 18% (10.4 vs 12.7days) in 2011, 19% (9.5 vs 11.7days) in 
      2012, 25% (8.8 vs 11.7days) in 2013, 24% (8.8 vs 11.6days) in 2014, and 32% (9 vs 
      13.1days) in 2015 at the AH, all of them with a P<.05. CONCLUSIONS: AGU are 25% 
      more efficient than the rest of hospital departments in managing hospital 
      admissions of patients older than 75years.
CI  - Copyright (c) 2018 SEGG. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Gonzalez-Montalvo, Juan Ignacio
AU  - Gonzalez-Montalvo JI
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana; IdiPAZ, Madrid, Espana. Electronic address: 
      juanignacio.gonzalez@salud.madrid.org.
FAU - Mauleon Ladrero, Coro
AU  - Mauleon Ladrero C
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana.
FAU - Menendez-Colino, Rocio
AU  - Menendez-Colino R
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana; IdiPAZ, Madrid, Espana.
FAU - Hernandez-Gutierrez, Sara
AU  - Hernandez-Gutierrez S
AD  - Servicio de Documentacion, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana.
FAU - Ramirez-Martin, Raquel
AU  - Ramirez-Martin R
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana; IdiPAZ, Madrid, Espana.
FAU - Diaz-de Bustamante, Macarena
AU  - Diaz-de Bustamante M
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana; IdiPAZ, Madrid, Espana.
FAU - Sanz Segovia, Francisco
AU  - Sanz Segovia F
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana.
FAU - Robles Agudo, Francisco
AU  - Robles Agudo F
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana.
FAU - Alarcon Alarcon, Teresa
AU  - Alarcon Alarcon T
AD  - Servicio de Geriatria, Hospital Universitario La Paz-Cantoblanco-Carlos III, 
      Madrid, Espana; IdiPAZ, Madrid, Espana.
LA  - spa
PT  - Comparative Study
PT  - Journal Article
TT  - Eficiencia de las unidades de agudos de geriatria frente al resto de servicios 
      hospitalarios. Analisis de la casuistica de 5 anos ajustada por GRD.
DEP - 20181112
PL  - Spain
TA  - Rev Esp Geriatr Gerontol
JT  - Revista espanola de geriatria y gerontologia
JID - 8009022
SB  - IM
MH  - Aged
MH  - *Clinical Audit
MH  - *Diagnosis-Related Groups
MH  - *Efficiency, Organizational
MH  - *Geriatrics
MH  - Hospital Departments/*standards
MH  - Hospital Units/*standards
MH  - Humans
MH  - Time Factors
OTO - NOTNLM
OT  - Anciano
OT  - Asistencia geriatrica
OT  - Efficiency
OT  - Eficiencia
OT  - Geriatric care
OT  - Geriatric unit
OT  - Older people
OT  - Unidad geriatrica
EDAT- 2018/11/18 06:00
MHDA- 2020/05/08 06:00
CRDT- 2018/11/17 06:00
PHST- 2018/06/03 00:00 [received]
PHST- 2018/08/29 00:00 [revised]
PHST- 2018/09/04 00:00 [accepted]
PHST- 2018/11/18 06:00 [pubmed]
PHST- 2020/05/08 06:00 [medline]
PHST- 2018/11/17 06:00 [entrez]
AID - S0211-139X(18)30676-0 [pii]
AID - 10.1016/j.regg.2018.09.007 [doi]
PST - ppublish
SO  - Rev Esp Geriatr Gerontol. 2019 Mar-Apr;54(2):94-98. doi: 
      10.1016/j.regg.2018.09.007. Epub 2018 Nov 12.