Patient deaths during the period of prolonged stay in cases of delayed discharge for nonclinical reasons at a university hospital : a cross sectional study
©2022 Pellico-López et al..
Background: Delayed discharge for non-clinical reasons also affects patients in need of palliative care. Moreover, the number of people dying in hospitals has been increasing in recent years. Our aim was to describe characteristics of patients who died during prolonged stay, in comparison with the rest of patients with delayed discharge, in terms of length of hospital stay, patient characteristics and the context of care.
Methods: A descriptive cross-sectional study at a high complexity public hospital in Northern Spain (2007-2015) was conducted. To compare the differential characteristics of the groups of patients died during delayed discharge with the rest, Student's T test and Pearson's chi-square test (χ 2) were used.
Results: A total of 198 patients died (6.57% of the total), with a mean total stay of 27.45 days and a prolonged stay of 10.69 days. Mean age 77.27 years. These were highly complex cases, 77.79% resided in the urban area, were admitted urgently (95.45%), to internal medicine or oncology wards, and the most common diagnosis was pneumonia. In people with terminal illness, clinicians can better identify when therapeutic possibilities are exhausted and acute hospitalization is not an adequate resource for their needs. Living in an urban area with the availability of palliative care hospital beds is related to the decision to die in hospital.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
PeerJ - 10(2022) vom: 27., Seite e13596 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Pellico-López, Amada [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 16.01.2023 Date Revised 16.01.2023 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
10.7717/peerj.13596 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM34255784X |
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| 245 | 1 | 0 | |a Patient deaths during the period of prolonged stay in cases of delayed discharge for nonclinical reasons at a university hospital |b a cross sectional study |
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| 500 | |a Date Revised 16.01.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a ©2022 Pellico-López et al. | ||
| 520 | |a Background: Delayed discharge for non-clinical reasons also affects patients in need of palliative care. Moreover, the number of people dying in hospitals has been increasing in recent years. Our aim was to describe characteristics of patients who died during prolonged stay, in comparison with the rest of patients with delayed discharge, in terms of length of hospital stay, patient characteristics and the context of care | ||
| 520 | |a Methods: A descriptive cross-sectional study at a high complexity public hospital in Northern Spain (2007-2015) was conducted. To compare the differential characteristics of the groups of patients died during delayed discharge with the rest, Student's T test and Pearson's chi-square test (χ 2) were used | ||
| 520 | |a Results: A total of 198 patients died (6.57% of the total), with a mean total stay of 27.45 days and a prolonged stay of 10.69 days. Mean age 77.27 years. These were highly complex cases, 77.79% resided in the urban area, were admitted urgently (95.45%), to internal medicine or oncology wards, and the most common diagnosis was pneumonia. In people with terminal illness, clinicians can better identify when therapeutic possibilities are exhausted and acute hospitalization is not an adequate resource for their needs. Living in an urban area with the availability of palliative care hospital beds is related to the decision to die in hospital | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Length of stay | |
| 650 | 4 | |a Mortality | |
| 650 | 4 | |a Palliative care | |
| 650 | 4 | |a Patient discharge | |
| 650 | 4 | |a Patient transfer | |
| 700 | 1 | |a Herrero-Montes, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Cantarero Prieto, David |e verfasserin |4 aut | |
| 700 | 1 | |a Fernández-Feito, Ana |e verfasserin |4 aut | |
| 700 | 1 | |a Cayon-De Las Cuevas, Joaquin |e verfasserin |4 aut | |
| 700 | 1 | |a Parás-Bravo, Paula |e verfasserin |4 aut | |
| 700 | 1 | |a Paz-Zulueta, María |e verfasserin |4 aut | |
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