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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Factors associated with inappropriate hospitalization at an internal medicine department]
J Luis Zambrana García1, M Delgado Fernández, G Cruz Caparrós
1Area de Medicina. Hospital Alto Guadalquivir. Andújar. Jaén. jzambranag@medynet.com
Background:
To determine the factors associated with inappropriate admissions in an Internal medicine department.
Subjects And Method:
We included 1,993 admissions. The justification for the admissions was evaluated using the Appropriateness Evalutation Protocol.
Results:
187 (9.4%) admissions were considered inappropriate. The likelihood of an inappropriate admission was higher as long as the patient was younger than 65 years of age (OR, 1.94; (95%) IC, 1.32-2.85) and the admission had been programmed from the outpatients clinic (OR, 10.58; (95%) IC, 2.79-40.1). Clinical diagnosis also influenced the inappropriateness of admissions.
Conclusion:
Age, diagnosis and source of patients determine inappropriate admissions in an internal medicine department.
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