An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia

Hao Chen,1 Yu Hara,1 Nobuyuki Horita,1 Yusuke Saigusa,2 Takeshi Kaneko1 1Department of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan; 2Department of Biostatistics, Yokohama City University Graduate School of Medicine, Yokohama, JapanCorrespondence: Hao ChenDepart...

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Autores principales:	Chen H, Hara Y, Horita N, Saigusa Y, Kaneko T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	discharge planning community-acquired pneumonia delayed discharge Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/d3f891240ab54ce6a17f41700c9ad430
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spelling	oai:doaj.org-article:d3f891240ab54ce6a17f41700c9ad4302021-12-02T13:32:10ZAn Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia1178-1998https://doaj.org/article/d3f891240ab54ce6a17f41700c9ad4302021-03-01T00:00:00Zhttps://www.dovepress.com/an-early-screening-tool-for-discharge-planning-shortened-length-of-hos-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Hao Chen,1 Yu Hara,1 Nobuyuki Horita,1 Yusuke Saigusa,2 Takeshi Kaneko1 1Department of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan; 2Department of Biostatistics, Yokohama City University Graduate School of Medicine, Yokohama, JapanCorrespondence: Hao ChenDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa, Yokohama, 236-0004, JapanTel +81 045-352-7962Fax +81 045-352-7963Email chinsmd@gmail.comBackground: Community-acquired pneumonia is one of the most common diseases in elderly persons and usually results in a prolonged hospital stay. Discharge planning plays an important role in reducing the length of hospitalization. This study was designed to determine whether early screening for risk factors for delayed discharge could improve the quality of discharge planning.Methods: This retrospective, observational study was conducted in two medical facilities from January 2016 to December 2018. Hospital A used a screening tool on admission (screening group): screening for risk factors for delayed discharge and initiating discharge planning immediately for those for whom it was applicable, and discharge planning in the stable phase for those for whom it was not applicable; and Hospital B initiated discharge planning without screening (usual group). Propensity score-matched pneumonia patients in the two groups were then compared. The primary outcome was length of hospital stay.Results: A total of 648 patients were enrolled in this study. After adjusting for age, sex, aspiration, comorbidity, pneumonia severity index, and key person, 118 pairs underwent analysis. Length of stay was significantly different (20 days vs 13 days, p< 0.001) between the groups. There were no differences in duration of antibiotic treatment, in-hospital mortality, and 30-day readmission (9 days vs 9 days, p=0.744; 10 (8.5%) vs 10 (8.5%), p=1.000; 10 (8.5%) vs 9 (7.6%), p=0.811, respectively).Conclusion: Early screening for delayed discharge improved the quality of discharge planning by reducing the length of stay in pneumonia patients.Keywords: discharge planning, community-acquired pneumonia, delayed dischargeChen HHara YHorita NSaigusa YKaneko TDove Medical Pressarticledischarge planningcommunity-acquired pneumoniadelayed dischargeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 443-450 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	discharge planning community-acquired pneumonia delayed discharge Geriatrics RC952-954.6
spellingShingle	discharge planning community-acquired pneumonia delayed discharge Geriatrics RC952-954.6 Chen H Hara Y Horita N Saigusa Y Kaneko T An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
description	Hao Chen,1 Yu Hara,1 Nobuyuki Horita,1 Yusuke Saigusa,2 Takeshi Kaneko1 1Department of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Japan; 2Department of Biostatistics, Yokohama City University Graduate School of Medicine, Yokohama, JapanCorrespondence: Hao ChenDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa, Yokohama, 236-0004, JapanTel +81 045-352-7962Fax +81 045-352-7963Email chinsmd@gmail.comBackground: Community-acquired pneumonia is one of the most common diseases in elderly persons and usually results in a prolonged hospital stay. Discharge planning plays an important role in reducing the length of hospitalization. This study was designed to determine whether early screening for risk factors for delayed discharge could improve the quality of discharge planning.Methods: This retrospective, observational study was conducted in two medical facilities from January 2016 to December 2018. Hospital A used a screening tool on admission (screening group): screening for risk factors for delayed discharge and initiating discharge planning immediately for those for whom it was applicable, and discharge planning in the stable phase for those for whom it was not applicable; and Hospital B initiated discharge planning without screening (usual group). Propensity score-matched pneumonia patients in the two groups were then compared. The primary outcome was length of hospital stay.Results: A total of 648 patients were enrolled in this study. After adjusting for age, sex, aspiration, comorbidity, pneumonia severity index, and key person, 118 pairs underwent analysis. Length of stay was significantly different (20 days vs 13 days, p< 0.001) between the groups. There were no differences in duration of antibiotic treatment, in-hospital mortality, and 30-day readmission (9 days vs 9 days, p=0.744; 10 (8.5%) vs 10 (8.5%), p=1.000; 10 (8.5%) vs 9 (7.6%), p=0.811, respectively).Conclusion: Early screening for delayed discharge improved the quality of discharge planning by reducing the length of stay in pneumonia patients.Keywords: discharge planning, community-acquired pneumonia, delayed discharge
format	article
author	Chen H Hara Y Horita N Saigusa Y Kaneko T
author_facet	Chen H Hara Y Horita N Saigusa Y Kaneko T
author_sort	Chen H
title	An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
title_short	An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
title_full	An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
title_fullStr	An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
title_full_unstemmed	An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia
title_sort	early screening tool for discharge planning shortened length of hospital stay for elderly patients with community-acquired pneumonia
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/d3f891240ab54ce6a17f41700c9ad430
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An Early Screening Tool for Discharge Planning Shortened Length of Hospital Stay for Elderly Patients with Community-Acquired Pneumonia

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