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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.

D San Jose-Saras1,2, J Vicente-Guijarro3,4, P Sousa5

  • 1Universidad de Alcalá, Facultad de Medicina y Ciencias de la Salud, Departamento de Biología de Sistemas, Alcalá de Henares, Spain.

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Inappropriate hospital admissions occur in 11.9% of cases, particularly in patients with intrinsic risk factors and surgical needs. This overuse leads to significant avoidable costs and resource strain on healthcare systems.

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Area of Science:

  • Healthcare Management
  • Hospital Administration
  • Patient Safety

Background:

  • Inappropriate hospital admissions negatively impact healthcare system efficiency.
  • Understanding the prevalence and drivers of these admissions is crucial for optimizing resource allocation.

Purpose of the Study:

  • To determine the prevalence of inappropriate hospital admissions.
  • To identify associated patient risk factors and the economic consequences of these admissions.

Main Methods:

  • A cross-sectional observational study was conducted in a large Spanish hospital.
  • The Appropriateness Evaluation Protocol was used to analyze patient data, including intrinsic risk factors (IRFs).
  • Multivariate analysis assessed the association between IRFs, admission type, and financial costs.

Main Results:

  • The prevalence of inappropriate admissions was 11.9% (95% CI: 9.5-14.9).
  • Patients with one IRF (OR: 9.68) and surgical admissions (OR: 1.89) showed higher inappropriateness.
  • Avoidable costs reached €139,076.4, with emergency admissions being a major contributor.

Conclusions:

  • The prevalence of inappropriate admissions is a key indicator of healthcare overuse.
  • Patients with moderate comorbidities are more susceptible to inappropriate admission.
  • Substantial and avoidable financial losses result from inappropriate hospitalizations.