Matches in SemOpenAlex for { <https://semopenalex.org/work/W2178727588> ?p ?o ?g. }
- W2178727588 abstract "ABSTRACT OBJECTIVE To assess the impact of implementing long-stay beds for patients of low complexity and high dependency in small hospitals on the performance of an emergency referral tertiary hospital. METHODS For this longitudinal study, we identified hospitals in three municipalities of a regional department of health covered by tertiary care that supplied 10 long-stay beds each. Patients were transferred to hospitals in those municipalities based on a specific protocol. The outcome of transferred patients was obtained by daily monitoring. Confounding factors were adjusted by Cox logistic and semiparametric regression. RESULTS Between September 1, 2013 and September 30, 2014, 97 patients were transferred, 72.1% male, with a mean age of 60.5 years (SD = 1.9), for which 108 transfers were performed. Of these patients, 41.7% died, 33.3% were discharged, 15.7% returned to tertiary care, and only 9.3% tertiary remained hospitalized until the end of the analysis period. We estimated the Charlson comorbidity index – 0 (n = 28 [25.9%]), 1 (n = 31 [56.5%]) and ≥ 2 (n = 19 [17.5%]) – the only variable that increased the chance of death or return to the tertiary hospital (Odds Ratio = 2.4; 95%CI 1.3;4.4). The length of stay in long-stay beds was 4,253 patient days, which would represent 607 patients at the tertiary hospital, considering the average hospital stay of seven days. The tertiary hospital increased the number of patients treated in 50.0% for Intensive Care, 66.0% for Neurology and 9.3% in total. Patients stayed in long-stay beds mainly in the first 30 (50.0%) and 60 (75.0%) days. CONCLUSIONS Implementing long-stay beds increased the number of patients treated in tertiary care, both in general and in system bottleneck areas such as Neurology and Intensive Care. The Charlson index of comorbidity is associated with the chance of patient death or return to tertiary care, even when adjusted for possible confounding factors." @default.
- W2178727588 created "2016-06-24" @default.
- W2178727588 creator A5005842108 @default.
- W2178727588 creator A5007438670 @default.
- W2178727588 creator A5012186389 @default.
- W2178727588 creator A5012954554 @default.
- W2178727588 creator A5013913813 @default.
- W2178727588 creator A5021548961 @default.
- W2178727588 creator A5022868908 @default.
- W2178727588 creator A5027294107 @default.
- W2178727588 creator A5027607401 @default.
- W2178727588 creator A5029835005 @default.
- W2178727588 creator A5059119414 @default.
- W2178727588 creator A5072119535 @default.
- W2178727588 date "2015-01-01" @default.
- W2178727588 modified "2023-09-27" @default.
- W2178727588 title "Impact of long-stay beds on the performance of a tertiary hospital in emergencies" @default.
- W2178727588 cites W132703037 @default.
- W2178727588 cites W1663637876 @default.
- W2178727588 cites W1898135535 @default.
- W2178727588 cites W1955364205 @default.
- W2178727588 cites W1957362873 @default.
- W2178727588 cites W1965295433 @default.
- W2178727588 cites W1966077788 @default.
- W2178727588 cites W1968595327 @default.
- W2178727588 cites W1974961477 @default.
- W2178727588 cites W1983190331 @default.
- W2178727588 cites W1992467602 @default.
- W2178727588 cites W2005816130 @default.
- W2178727588 cites W2009827176 @default.
- W2178727588 cites W2010646000 @default.
- W2178727588 cites W2042948257 @default.
- W2178727588 cites W2082684845 @default.
- W2178727588 cites W2085730975 @default.
- W2178727588 cites W2097165787 @default.
- W2178727588 cites W2102931978 @default.
- W2178727588 cites W2128315394 @default.
- W2178727588 cites W2156237489 @default.
- W2178727588 cites W2157601667 @default.
- W2178727588 cites W2167023100 @default.
- W2178727588 cites W2168490046 @default.
- W2178727588 doi "https://doi.org/10.1590/s0034-8910.2015049006078" @default.
- W2178727588 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4650935" @default.
- W2178727588 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/26603353" @default.
- W2178727588 hasPublicationYear "2015" @default.
- W2178727588 type Work @default.
- W2178727588 sameAs 2178727588 @default.
- W2178727588 citedByCount "2" @default.
- W2178727588 countsByYear W21787275882022 @default.
- W2178727588 crossrefType "journal-article" @default.
- W2178727588 hasAuthorship W2178727588A5005842108 @default.
- W2178727588 hasAuthorship W2178727588A5007438670 @default.
- W2178727588 hasAuthorship W2178727588A5012186389 @default.
- W2178727588 hasAuthorship W2178727588A5012954554 @default.
- W2178727588 hasAuthorship W2178727588A5013913813 @default.
- W2178727588 hasAuthorship W2178727588A5021548961 @default.
- W2178727588 hasAuthorship W2178727588A5022868908 @default.
- W2178727588 hasAuthorship W2178727588A5027294107 @default.
- W2178727588 hasAuthorship W2178727588A5027607401 @default.
- W2178727588 hasAuthorship W2178727588A5029835005 @default.
- W2178727588 hasAuthorship W2178727588A5059119414 @default.
- W2178727588 hasAuthorship W2178727588A5072119535 @default.
- W2178727588 hasBestOaLocation W21787275881 @default.
- W2178727588 hasConcept C126322002 @default.
- W2178727588 hasConcept C145420912 @default.
- W2178727588 hasConcept C151956035 @default.
- W2178727588 hasConcept C156957248 @default.
- W2178727588 hasConcept C167135981 @default.
- W2178727588 hasConcept C187212893 @default.
- W2178727588 hasConcept C194828623 @default.
- W2178727588 hasConcept C2776135927 @default.
- W2178727588 hasConcept C2780283434 @default.
- W2178727588 hasConcept C2991842025 @default.
- W2178727588 hasConcept C3019033257 @default.
- W2178727588 hasConcept C33923547 @default.
- W2178727588 hasConcept C512399662 @default.
- W2178727588 hasConcept C71924100 @default.
- W2178727588 hasConcept C77350462 @default.
- W2178727588 hasConceptScore W2178727588C126322002 @default.
- W2178727588 hasConceptScore W2178727588C145420912 @default.
- W2178727588 hasConceptScore W2178727588C151956035 @default.
- W2178727588 hasConceptScore W2178727588C156957248 @default.
- W2178727588 hasConceptScore W2178727588C167135981 @default.
- W2178727588 hasConceptScore W2178727588C187212893 @default.
- W2178727588 hasConceptScore W2178727588C194828623 @default.
- W2178727588 hasConceptScore W2178727588C2776135927 @default.
- W2178727588 hasConceptScore W2178727588C2780283434 @default.
- W2178727588 hasConceptScore W2178727588C2991842025 @default.
- W2178727588 hasConceptScore W2178727588C3019033257 @default.
- W2178727588 hasConceptScore W2178727588C33923547 @default.
- W2178727588 hasConceptScore W2178727588C512399662 @default.
- W2178727588 hasConceptScore W2178727588C71924100 @default.
- W2178727588 hasConceptScore W2178727588C77350462 @default.
- W2178727588 hasIssue "0" @default.
- W2178727588 hasLocation W21787275881 @default.
- W2178727588 hasLocation W21787275882 @default.
- W2178727588 hasLocation W21787275883 @default.
- W2178727588 hasLocation W21787275884 @default.
- W2178727588 hasOpenAccess W2178727588 @default.
- W2178727588 hasPrimaryLocation W21787275881 @default.