Inappropriate Hospital Stay of Patients Admitted Under Care of General Medicine Units

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18 Objective: This study aims to assess the incidence of inappropriate hospital stay and to identify 19 reasons behind inappropriate hospitalisation. Methods: The study was a retrospective cohort 20 study included patients admitted under the care of General Internal Medicine. First, we 21 calculated the average length of hospital stay for all included patients, and then we used 22 Appropriateness Evaluation Protocol to examine admissions that exceeded the average length of 23 hospital stay and then identify reasons for the inappropriate hospital stay. Results: There were 24 854 admissions during the study period. In this cohort, 53.1% were men, and the median age was 25 64 (IQR:44-75) years. There was a total of 6785.4 hospitalization days, and the average length of 26 hospital stay was 5 (IQR:3-9) days. 31.9% of admissions (n=272 admissions) included 27 inappropriate hospitalization days. 9.9 % (n=674 days) of hospitalization days were classified as 28 inappropriate. Delay in complementary tests (29.0%), and unavailability of extra-hospital 29 resources (21.7%) were the most common reasons associated with inappropriate hospital stay. 30 2 Old Age was associated with increased inappropriate hospital stay. Conclusion: A significant 31 proportion of hospitalisation days were inappropriate due to hospital related factors. Therefore, 32 auditing hospital services, and investing in home-based care are among the top strategies which 33 are likely to improve early discharge and minimize inappropriate hospital bed occupancy.
Original languageEnglish
JournalSultan Qaboos University Medical Journal [SQUMJ]
Publication statusE-pub ahead of print - Jun 2022

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