Factors associated with the appropriate use of preoperatory hospital stays: Historical cohort study

Sonia Tamames, Alberto Perez Rubio, Javier Castrodeza Sanz, Maria Belen Canton Alvarez, Francisco J. Luquero, Sara Santos Sanz, Placido Lopez Encinar, Maria Paz De La Torre Pardo, Juan Manuel Gil Gonzalez

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Abstract

Background. To ensure the highest efficiency, health services should be provided with the least possible complexity. The aim of this study is to quantify the degree of appropriateness in preoperatory hospital stays and to analyse those factors associated with a greater inappropriate use. Methods. Historical cohort study. The histories of 440 hospitalised patients who underwent at least one surgical procedure were analysed. Data collection was carried out by doctors not involved in the services studied, following the Appropriateness Evaluation Protocol. A bivariate and multivariate analysis of the factors associated with the appropriateness of preoperatory stays was carried out. Results. The mean number of days of preoperatory stay was 5.5 (SD 5.11), of which a mean number of 2.5 days were considered to be inappropriate (SD 4.11). The overall rate of inappropriateness was 45.2% (CI 95% 43.3-47.1). The multivariate analysis showed a positive association of the inappropriateness of the preoperatory stay with weekend days, programmed admission, hospital stays longer than 7 days, medical records incorrectly or incompletely documented and the age groups of 45-65 and the >65 with respect to the

Original languageEnglish (US)
Article number187
JournalBMC Health Services Research
Volume7
DOIs
StatePublished - 2007
Externally publishedYes

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ASJC Scopus subject areas

  • Nursing(all)

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Tamames, S., Perez Rubio, A., Castrodeza Sanz, J., Canton Alvarez, M. B., Luquero, F. J., Santos Sanz, S., Lopez Encinar, P., De La Torre Pardo, M. P., & Gil Gonzalez, J. M. (2007). Factors associated with the appropriate use of preoperatory hospital stays: Historical cohort study. BMC Health Services Research, 7, [187]. https://doi.org/10.1186/1472-6963-7-187