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Ökat om­vårdnadsbehov främsta orsak till lång vårdtid på medicinklinik: Retrospektiv journalstudie styrker att tidig vårdplanering skulle kunna ge bättre platstillgång
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 6, p. 219-222Article in journal (Refereed) Published
Abstract [sv]

En retrospektiv journalstudie visar att 50 procent av alla patienter som lades in på medicin­klinik hade en vårdtid <3 dygn och upptog endast 14 procent av de belagda sjukhussängarna.

24 procent av alla patienter som lades in på medicinklinik hade en vårdtid >5 dygn, vilket upptog 65 procent av de belagda sjukhussängarna.

Behov av vårdplanering och/eller förändrade heminsatser var den faktor som var starkast kopplad till lång vårdtid. 

Behov av sjukvårdsinsatser som till stor del är sjukhusbundna (invasiva åtgärder), behov av utredningar (t ex ekokardiografi och röntgen), sjuklighet (t ex hypoalbuminemi, hyponatremi och takykardi) och antibiotikabehandling visade sig i studien vara kopplade till lång vårdtid.

Abstract [en]

The aim of the study was to analyze factors of importance for how long patients are treated at a medical ward. A systematic analysis of medical records was performed in all patients admitted to the medical wards during March–May 2012 (n = 1 523) at the University Hospital of Northern Sweden in Umeå. Factors related to type of disease, disability, social background and care given were recorded and interpreted by multivariate analysis. 50% of the patients stayed in the ward <3 days, occupying 14% of all beds. 24% of the patients had a hospital stay >5 days and occupied 65% of the beds. The following factors was strongly associated with a long stay >5 days (vs 3–5 days stay): need for more elder care, the need of >1 X-ray investigations, nutritional support, hypoalbuminemia, invasive treatment (e g intravenous antibiotics) and the need for oxygen treatment >2 days.

Place, publisher, year, edition, pages
2014. Vol. 111, no 6, p. 219-222
National Category
General Practice
Identifiers
URN: urn:nbn:se:umu:diva-128595PubMedID: 24665533OAI: oai:DiVA.org:umu-128595DiVA, id: diva2:1052897
Available from: 2016-12-07 Created: 2016-12-07 Last updated: 2018-10-02Bibliographically approved

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Chorell, ElinKarling, Pontus

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