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Admission criteria for a cardiovascular short stay unit: a retrospective analysis on a pilot unit.
- Source :
-
Internal and emergency medicine [Intern Emerg Med] 2021 Nov; Vol. 16 (8), pp. 2087-2095. Date of Electronic Publication: 2021 Mar 26. - Publication Year :
- 2021
-
Abstract
- Rapid intensive observation (RIO) units have been created to guarantee high standards of care in a sustainable health-care system. Within short stay units (SSUs), which are a subgroup of RIOs, only rapidly manageable patients should be admitted. Physicians are unable to predict the length of stay (LOS) as objective criteria to make such a prediction are missing. A retrospective observational study was carried out to identify the objective criteria for admission within a cardiovascular care-oriented SSU. Over a period of 317 days, 340 patients (age 69.4 ± 14.7 years) were admitted to a pilot SSU within our internal medicine department. The most frequent diagnoses were chest pain (45.9%), syncope (12.9%), and supraventricular arrhythmias (11.2%). The median LOS was 4 days (quartile 1:3; quartile 3:7). Predictors of LOS ≤ 96 h were age < 80, hemoglobin > 115 g/L, estimated glomerular filtration rate > 45 mL/min/1.73 m <superscript>2</superscript> , Charlson Comorbidity Index < 3, Barthel Index > 40, diagnosis of chest pain, syncope, supraventricular arrhythmias, or acute heart failure. The HEART (history, ECG, age, risk factors, troponin) score was found to be excellent in risk stratification of patients admitted for chest pain. Blood tests and anamnestic variables can be used to predict the LOS and thus SSU admission. The HEART score may help in the classification of patients with chest pain admitted to an SSU.<br /> (© 2021. The Author(s).)
- Subjects :
- Aged
Aged, 80 and over
Cardiovascular Nursing standards
Cardiovascular Nursing statistics & numerical data
Female
Humans
Length of Stay statistics & numerical data
Logistic Models
Male
Middle Aged
Patient Admission statistics & numerical data
Patients' Rooms organization & administration
Patients' Rooms statistics & numerical data
Retrospective Studies
Risk Factors
Cardiovascular Nursing organization & administration
Patient Admission trends
Patient Selection
Subjects
Details
- Language :
- English
- ISSN :
- 1970-9366
- Volume :
- 16
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Internal and emergency medicine
- Publication Type :
- Academic Journal
- Accession number :
- 33770369
- Full Text :
- https://doi.org/10.1007/s11739-021-02700-4