Mostrar el registro sencillo del ítem

dc.contributor.authorOrtiga Fontgivell, Berta
dc.contributor.authorCapdevila, Cristina
dc.contributor.authorSalazar Soler, Albert
dc.contributor.authorViso, M.F.
dc.contributor.authorBartolomé Sarvisé, Carlos
dc.contributor.authorCorbella Virós, Xavier
dc.date.accessioned2019-12-28T18:03:54Z
dc.date.available2019-12-28T18:03:54Z
dc.date.issued2010-01-22
dc.identifier.citationOrtiga, B.; Capdevila, C.; Salazar, A. [et al.]. Effectiveness of a Surgery Admission Unit for patients undergoing major elective surgery in a tertiary university hospital. BMC Health Services Research, 2010, vol. 10, p. 1-5. Disponible en: <https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-23#rightslink>. Fecha de acceso: 28 dic. 2019. DOI: 10.1186/1472-6963-10-23.ca
dc.identifier.issn1472-6963ca
dc.identifier.urihttp://hdl.handle.net/20.500.12328/1411
dc.description.abstractBackground: The increasing demand on hospitalisation, either due to elective activity from the waiting lists or due to emergency admissions coming from the Emergency Department (ED), requires looking for strategies that lead to effective bed management. The aim of this study was to evaluate the effectiveness of a surgery admission unit for major elective surgery patients who were admitted for same-day surgery. Methods: We included all patients admitted for elective surgery in a university tertiary hospital between the 1st of September and the 31st of December 2006, as well as those admitted during the same period of 2008, after the introduction of the Surgery Admission Unit. The main outcome parameters were global length of stay, pre-surgery length of stay, proportion of patients admitted the same day of the surgery and number of cancellations. Differences between the two periods were evaluated by the T-test and Chi-square test. Significance at P < 0.05 was assumed throughout. Results: We included 6,053 patients, 3,003 during 2006 and 3,050 patients during 2008. Global length of stay was 6.2 days (IC 95%:6.4-6) in 2006 and 5.5 days (IC 95%:5.8-5.2) in 2008 (p < 0.005). Pre-surgery length of stay was reduced from 0.46 days (IC 95%:0.44-0.48) in 2006 to 0.29 days (IC 95%:0.27-0.31) in 2008 (p < 0.005). The proportion of patients admitted for same-day surgery was 67% (IC 95%:69%-65%) in 2006 and 76% (IC 95%:78%-74%) in 2008 (p < 0.005). The number of cancelled interventions due to insufficient preparation was 31 patients in 2006 and 7 patients in 2008. Conclusions: The implementation of a Surgery Admission Unit for patients undergoing major elective surgery has proved to be an effective strategy for improving bed management. It has enabled an improvement in the proportion of patients admitted on the same day as surgery and a shorter length of stay.ca
dc.format.extent5ca
dc.language.isoengca
dc.publisherSpringer Natureca
dc.relation.ispartofBMC Health Services Researchca
dc.relation.ispartofseries10;
dc.rightsThis article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.ca
dc.rights.urihttp://creativecommons.org/licenses/by/2.0
dc.subject.otherUrgències mèdiquesca
dc.subject.otherPersonal mèdic i pacient
dc.subject.otherHospitals--Pacients
dc.subject.otherCardiologia
dc.subject.otherOperacions quirúrgiques
dc.subject.otherPacientes y médicos
dc.subject.otherUrgencias médicas
dc.subject.otherHospitalizados
dc.subject.otherCardiología
dc.subject.otherOperaciones quirúrgicas
dc.subject.otherMedical emergencies
dc.subject.otherHospitals--Patients
dc.subject.otherCardiology
dc.subject.otherSurgical operations
dc.titleEffectiveness of a Surgery Admission Unit for patients undergoing major elective surgery in a tertiary university hospitalca
dc.typeinfo:eu-repo/semantics/articleca
dc.description.versioninfo:eu-repo/semantics/acceptedVersionca
dc.embargo.termscapca
dc.subject.udc61ca
dc.identifier.doihttps://dx.doi.org/10.1186/1472-6963-10-23ca


Ficheros en el ítem

FicherosTamañoFormatoVer

No hay ficheros asociados a este ítem.

Este ítem aparece en la(s) siguiente(s) colección(ones)

Mostrar el registro sencillo del ítem

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Excepto si se señala otra cosa, la licencia del ítem se describe como http://creativecommons.org/licenses/by/2.0
Compartir en TwitterCompartir en LinkedinCompartir en FacebookCompartir en TelegramCompartir en WhatsappImprimir