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Declining length of hospital stay for pneumonia and postdischarge outcomes.
Am J Med. 2008 Oct; 121(10):845-52.AJ

Abstract

OBJECTIVE

This study was designed to assess 8-year trends in the duration of hospitalization for community-acquired pneumonia and to evaluate the impact of declining length of stay on postdischarge short-term readmission and mortality.

METHODS

We conducted a prospective observational cohort study of 1886 patients with community-acquired pneumonia who were discharged from a single hospital between March 1, 2000, and June 30, 2007. The main outcomes measured were all-cause mortality and hospital readmission during the 30-day period after discharge. Regression models were used to identify risk factors associated with hospital length of stay and the adjusted associations between length of stay and mortality and readmission.

RESULTS

Factors associated with a longer hospital stay included the number of comorbid conditions, high risk classification on the Pneumonia Severity Index, bilateral or multilobe radiographic involvement, and treatment failure. Patients treated with an appropriate antibiotic were less likely to have an increased length of stay. The mean length of stay was significantly shorter during the 2006 to 2007 period (3.6 days) than during the 2000 to 2001 period (5.6 days, P<.001). Despite the reduction in length of stay, there were no significant differences in the likelihood of death or readmission at 30 days between the 2 time periods. Adjusted multivariate analysis showed that patients with hospital stays less than 3 days did not have significant increases in postdischarge outcomes.

CONCLUSION

The marked decreased in the length of stay for patients hospitalized with community-acquired pneumonia since 2000 has not been accompanied by an increase in short-term mortality or hospital readmission.

Authors+Show Affiliations

Pneumology Service, Galdakao Hospital, Galdakao, Bizkaia, Spain. ALBERTO.CAPELASTEGUISAIZ@osakidetza.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18823851

Citation

Capelastegui, Alberto, et al. "Declining Length of Hospital Stay for Pneumonia and Postdischarge Outcomes." The American Journal of Medicine, vol. 121, no. 10, 2008, pp. 845-52.
Capelastegui A, España PP, Quintana JM, et al. Declining length of hospital stay for pneumonia and postdischarge outcomes. Am J Med. 2008;121(10):845-52.
Capelastegui, A., España, P. P., Quintana, J. M., Gallarreta, M., Gorordo, I., Esteban, C., Urrutia, I., & Bilbao, A. (2008). Declining length of hospital stay for pneumonia and postdischarge outcomes. The American Journal of Medicine, 121(10), 845-52. https://doi.org/10.1016/j.amjmed.2008.05.010
Capelastegui A, et al. Declining Length of Hospital Stay for Pneumonia and Postdischarge Outcomes. Am J Med. 2008;121(10):845-52. PubMed PMID: 18823851.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Declining length of hospital stay for pneumonia and postdischarge outcomes. AU - Capelastegui,Alberto, AU - España,Pedro P, AU - Quintana,José M, AU - Gallarreta,Maitane, AU - Gorordo,Inmaculada, AU - Esteban,Cristobal, AU - Urrutia,Isabel, AU - Bilbao,Amaia, PY - 2008/04/02/received PY - 2008/05/12/revised PY - 2008/05/14/accepted PY - 2008/10/1/pubmed PY - 2008/10/23/medline PY - 2008/10/1/entrez SP - 845 EP - 52 JF - The American journal of medicine JO - Am J Med VL - 121 IS - 10 N2 - OBJECTIVE: This study was designed to assess 8-year trends in the duration of hospitalization for community-acquired pneumonia and to evaluate the impact of declining length of stay on postdischarge short-term readmission and mortality. METHODS: We conducted a prospective observational cohort study of 1886 patients with community-acquired pneumonia who were discharged from a single hospital between March 1, 2000, and June 30, 2007. The main outcomes measured were all-cause mortality and hospital readmission during the 30-day period after discharge. Regression models were used to identify risk factors associated with hospital length of stay and the adjusted associations between length of stay and mortality and readmission. RESULTS: Factors associated with a longer hospital stay included the number of comorbid conditions, high risk classification on the Pneumonia Severity Index, bilateral or multilobe radiographic involvement, and treatment failure. Patients treated with an appropriate antibiotic were less likely to have an increased length of stay. The mean length of stay was significantly shorter during the 2006 to 2007 period (3.6 days) than during the 2000 to 2001 period (5.6 days, P<.001). Despite the reduction in length of stay, there were no significant differences in the likelihood of death or readmission at 30 days between the 2 time periods. Adjusted multivariate analysis showed that patients with hospital stays less than 3 days did not have significant increases in postdischarge outcomes. CONCLUSION: The marked decreased in the length of stay for patients hospitalized with community-acquired pneumonia since 2000 has not been accompanied by an increase in short-term mortality or hospital readmission. SN - 1555-7162 UR - https://www.unboundmedicine.com/medline/citation/18823851/Declining_length_of_hospital_stay_for_pneumonia_and_postdischarge_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9343(08)00492-0 DB - PRIME DP - Unbound Medicine ER -