Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal
Background: Appropriateness of admissions and inpatient length of stay (LOS) are important factors controlling health-care expenditure. The current study was conducted to assess the proportion of appropriate admissions among 29-day to 12-year--old aged patients admitted to pediatric wards of a terti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Community Medicine |
| Subjects: | |
| Online Access: | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=6;spage=841;epage=845;aulast=Samanta |
| _version_ | 1797352037287985152 |
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| author | Sampriti Samanta Alapan Bandyopadhyay Abhijit Mukherjee Sharmistha Bhattacherjee |
| author_facet | Sampriti Samanta Alapan Bandyopadhyay Abhijit Mukherjee Sharmistha Bhattacherjee |
| author_sort | Sampriti Samanta |
| collection | DOAJ |
| description | Background: Appropriateness of admissions and inpatient length of stay (LOS) are important factors controlling health-care expenditure. The current study was conducted to assess the proportion of appropriate admissions among 29-day to 12-year--old aged patients admitted to pediatric wards of a tertiary health-care center in one month and evaluate inappropriate LOS among them. Materials and Methods: An observational longitudinal study was carried out for two months among patients admitted to the pediatric inpatient department using Pediatric Appropriateness Evaluation Protocol (PAEP)-II tool. All patients admitted to the institution during the study period were included in the study. Results: Among 495 children, 438 (88.5%) were appropriately admitted. Inappropriate admission was mostly found in children aged 1 to 5 years (29, 16.6%), those who lived >5 km from the hospital (45, 15.2%), and those who presented with other systemic illnesses (13, 31.7%). Among the appropriately admitted children, 333 (76%) met the criteria of appropriate LOS during their hospital stays. Multivariable logistic regression showed that the age of the children (AOR = 0.99; 95% CI = 0.98, 0.99), age-appropriate feeding (AOR = 2.12;95% CI = 1.30,3.47), and hematological disorder (AOR = 0.16; 95% CI = 0.05, 0.52) were found to be associated with the children being kept at the hospital inappropriately. Conclusions: The current study observed a high proportion of appropriate admission in children. However, a higher proportion of inappropriate LOS among them was seen. The younger age group, age-appropriate feeding, and type of illness were found as the primary predictors for inappropriate LOS. |
| first_indexed | 2024-03-08T13:09:21Z |
| format | Article |
| id | doaj.art-876ae10790604e6aa225db82b5858808 |
| institution | Directory Open Access Journal |
| issn | 0970-0218 1998-3581 |
| language | English |
| last_indexed | 2024-03-08T13:09:21Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community Medicine |
| spelling | doaj.art-876ae10790604e6aa225db82b58588082024-01-18T15:17:11ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812023-01-0148684184510.4103/ijcm.ijcm_20_22Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West BengalSampriti SamantaAlapan BandyopadhyayAbhijit MukherjeeSharmistha BhattacherjeeBackground: Appropriateness of admissions and inpatient length of stay (LOS) are important factors controlling health-care expenditure. The current study was conducted to assess the proportion of appropriate admissions among 29-day to 12-year--old aged patients admitted to pediatric wards of a tertiary health-care center in one month and evaluate inappropriate LOS among them. Materials and Methods: An observational longitudinal study was carried out for two months among patients admitted to the pediatric inpatient department using Pediatric Appropriateness Evaluation Protocol (PAEP)-II tool. All patients admitted to the institution during the study period were included in the study. Results: Among 495 children, 438 (88.5%) were appropriately admitted. Inappropriate admission was mostly found in children aged 1 to 5 years (29, 16.6%), those who lived >5 km from the hospital (45, 15.2%), and those who presented with other systemic illnesses (13, 31.7%). Among the appropriately admitted children, 333 (76%) met the criteria of appropriate LOS during their hospital stays. Multivariable logistic regression showed that the age of the children (AOR = 0.99; 95% CI = 0.98, 0.99), age-appropriate feeding (AOR = 2.12;95% CI = 1.30,3.47), and hematological disorder (AOR = 0.16; 95% CI = 0.05, 0.52) were found to be associated with the children being kept at the hospital inappropriately. Conclusions: The current study observed a high proportion of appropriate admission in children. However, a higher proportion of inappropriate LOS among them was seen. The younger age group, age-appropriate feeding, and type of illness were found as the primary predictors for inappropriate LOS.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=6;spage=841;epage=845;aulast=Samantaadmissionhospitallength of stay |
| spellingShingle | Sampriti Samanta Alapan Bandyopadhyay Abhijit Mukherjee Sharmistha Bhattacherjee Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal Indian Journal of Community Medicine admission hospital length of stay |
| title | Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal |
| title_full | Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal |
| title_fullStr | Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal |
| title_full_unstemmed | Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal |
| title_short | Appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in West Bengal |
| title_sort | appropriateness of hospital admission and length of stay in the pediatric department of a tertiary care hospital in west bengal |
| topic | admission hospital length of stay |
| url | http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2023;volume=48;issue=6;spage=841;epage=845;aulast=Samanta |
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