Abstract

SANCHEZ HERNANDEZ, Ernesto et al. Risk factors associated with prolonged hospital stay in adult patients. MEDISAN [online]. 2019, vol.23, n.2, pp.271-283. ISSN 1029-3019.

An investigation of cases and controls in adult patients admitted at Dr. Joaquín Castillo Duany Provincial Hospital from Santiago de Cuba was carried out during 5 months in 2017, with the purpose of estimating the effect of certain risk factors as modifiers of the hospital stay, as well as the magnitude of the impact in the potential reduction of the exposure degree to those factors. The study group was formed by 40 patients and the control group by 80. The osteomioarticular lesions prevailed in both groups (with a total of 23.3 %); as long as, for the cases it was more frequent a hospital stay of 13 days and for the controls, equal or longer than 7 days as average. Among the risk factors were defined, with a confidence level of 95 %, the age older than 65 years (OR: 4; IC 95 %: 1.2-17), the occurrence of adverse episodes (OR: 26; IC 95 %: 8.1-80.3) and the delays in the medical decisions (OR: 19; IC 95 %: 4-89). It could be concluded that the epidemiological design allowed to establish causality relationships in the continuity of the hospital stay and to quantify the magnitude of its reduction if risks are controlled or eliminated.

Keywords : hospital management; quality indicators; prolonged hospital stay; risk factors.

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