Revista Científica de la Sociedad Española de Medicina de Urgencias y Emergencias
News Subscription
Impact factor 2021
5.345
1er cuartil (5 de 32)
Emergency Medicine
Resumen
< ReturnCommunity-acquired pneumonia management in a short-stay unit: analysis of safety and efficacy
Juan Pastor A, Jacob J, Llopis Roca F, Gómez-Vaquero C, Ferré Losa C, Pérez Mas JR, Palom Rico X, Giol J, Ramón JM, Salazar Soler A, Corbella Virós X
Servicio de Urgencias y Unidad de Corta Estancia. Servicio de ReumatologÃa. Servicio de Medicina Preventiva. Hospital Universitario de Bellvitge, L’Hospitalet de Llobregat. Barcelona, Spain.
Background and objective: Community-acquired pneumonia (CAP) is a highly
prevalent disease that often requires hospital admission. We aimed to assess the safety
and efficacy of treating CAP in a short-stay unit as an alternative to conventional
hospitalization.
Methods: Retrospective comparison of patients admitted to a tertiary care hospital with
a diagnosis of CAP between November 2005 and April 2007. We compared outcomes
for cases managed in the 2 locations (short-stay unit vs conventional hospital ward),
excluding patients who required intensive care. Variables and outcomes analyzed were
age, sex, Charlson index, mean weight in the diagnosis-related group, scores on the
CURB-65 criteria and the Pneumonia Severity Index (PSI), findings of microbiology, and
readmission and mortality rates.
Results: A total of 606 patients were studied; 187 were treated in the short-stay unit and
419 were admitted to the conventional ward. The main significant differences between
the 2 groups were mean age (77.3 vs 67.9 years, respectively; P<.0001) and mean stay
(3.48 vs 7.89 days; P<.0001). These differences were also reflected in the comparison
between severity subgroups (by PSI). Mortality rates did not differ.
Conclusions: Our experience with the short-stay unit suggests it offers a safe and
effective way to manage CAP and leads to a significantly shorter hospital stay in
comparison with conventional hospitalization, without increasing readmission and
mortality rates.
prevalent disease that often requires hospital admission. We aimed to assess the safety
and efficacy of treating CAP in a short-stay unit as an alternative to conventional
hospitalization.
Methods: Retrospective comparison of patients admitted to a tertiary care hospital with
a diagnosis of CAP between November 2005 and April 2007. We compared outcomes
for cases managed in the 2 locations (short-stay unit vs conventional hospital ward),
excluding patients who required intensive care. Variables and outcomes analyzed were
age, sex, Charlson index, mean weight in the diagnosis-related group, scores on the
CURB-65 criteria and the Pneumonia Severity Index (PSI), findings of microbiology, and
readmission and mortality rates.
Results: A total of 606 patients were studied; 187 were treated in the short-stay unit and
419 were admitted to the conventional ward. The main significant differences between
the 2 groups were mean age (77.3 vs 67.9 years, respectively; P<.0001) and mean stay
(3.48 vs 7.89 days; P<.0001). These differences were also reflected in the comparison
between severity subgroups (by PSI). Mortality rates did not differ.
Conclusions: Our experience with the short-stay unit suggests it offers a safe and
effective way to manage CAP and leads to a significantly shorter hospital stay in
comparison with conventional hospitalization, without increasing readmission and
mortality rates.
SÃguenos en:
