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Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals

  • M. CABRE (a1), I. BOLIVAR (a2), G. PERA (a2) and R. PALLARES (a3)

Abstract

We did a retrospective study of 1920 episodes of community-acquired pneumonia (CAP) in 27 community hospitals and analysed inter-hospital variability in length of hospital stay (LOS), mortality and readmission rates. The overall adjusted LOS (mean±S.D.) was 10·0±9·8 days. LOS increased according to the Pneumonia Severity Index (PSI) risk class: 7·3 days for class I to 11·3 days for class V (P<0·001). In a multiple regression model, LOS increased (P<0·001) according to the hospital (inter-hospital variability), PSI risk class, complications during hospitalization, admission to ICU, need of oxygen and transfer to a nursing home. Hospitals with shorter LOS did not show an increased readmission rate (adjusted OR 1·02, 95% CI 0·51–2·03, P=0·97) and post-discharge mortality (adjusted OR 1·20, 95% CI 0·70–2·05, P=0·51). There are significant inter-hospital variations in LOS in patients with CAP which are related to differences in clinical management. The reduction of these differences will further improve efficiency and quality of care.

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Copyright

Corresponding author

Dr R. Pallares, Fundació August Pi i Sunyer, Hospital de Bellvitge, Feixa Llarga s/n, 08907 L' Hospitalet de Llobregat, Barcelona, Spain. (Email: rpallares@ub.edu)

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Factors influencing length of hospital stay in community-acquired pneumonia: a study in 27 community hospitals

  • M. CABRE (a1), I. BOLIVAR (a2), G. PERA (a2) and R. PALLARES (a3)

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