Desarrollo y proceso de mejora de la vía clínica “neumonía adquirida en la comunidad con ingreso hospitalario” en un hospital de ámbito comarcal

Muñoz, Luis Ángel Sánchez; Cabeza, Miguel Ángel Torralba; Herrero, Jesús Castiella; Pérez, María Victoria Musitu; oñate, M.; Portugal, Francisco José Sanjuán; Manchado, J. Naya

doi:10.1016/s1134-282x(06)70799-0

Cited by 1 publication

(3 citation statements)

References 48 publications

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“…According to the literature reviewed, [16,20] the expected diff erence in mean hospital stay between patients in whom the clinical pathway was and was not applied was 1 day (Standard Deviation [SD] [2]; Confi dence Interval [CI] of 95%, and statistical power of 90%), in favour of those treated under the clinical pathway. Based on these parameters, a sample size of 85 patients per group was established, for a total sample of 170.…”

Section: This Retrospective Cohort Study Took Place In the Eldamentioning

confidence: 99%

“…The great variability in the clinical management of CAP highlights the need to standardised practices [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Countries that have already implemented clinical pathways for managing CAP have achieved signifi cant improvements in survival, mean length of hospital stay, and derived healthcare costs [18,19]. However, in Spain few experiences on implementing clinical pathways for CAP have been published [16].…”

Section: Introductionmentioning

confidence: 99%

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Impact of a Clinical Pathway for Hospital Management of Community-Acquired Pneumonia: A Retrospective Cohort Study

Barchín¹,

Wikman-Jorgensen²,

Bello³

et al. 2021

J Biomed Res Environ Sci

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Introduction: Community-acquired pneumonia is a prevalent disease that is managed in heterogeneous ways. Clinical pathways have been proposed as one way to mitigate this variability, but few implementation experiences have been published. The primary objective of this study is to analyse the effects of implementing a standardised clinical pathway for community-acquired pneumonia on length of hospital stay. Methods: Retrospective cohort study comparing two equivalent time periods with and without a clinical pathway. We described patient characteristics in both periods and compared mean length of hospital stay, mortality, rate of complications, and readmissions within 30 days. Results: A total of 170 patients were included across both periods. Mean length of hospital stay in patients treated before implementation of the clinical pathway was 6.05 days versus 5.43 days afterward (p = 0.28). The segmented regression analysis showed a change in slope for the length of hospital stay (0.04) following implementation of the clinical pathway. The proportion of patients hospitalised for more than 6 days was 37.5% in the first period, compared to 29.6% in the second (p = 0.088). Multivariable analysis showed that nonadherence to the clinical pathway was associated with a hospital stay of longer than 6 days (p = 0.048). Mortality dropped from 10.5% to 4.7% after the clinical pathway was established (p = 0.12). The proportion of patients readmitted within 30 days due to CAP was 8.8% before the establishment of the clinical pathway and 0% afterwards (p = 0.006). Conclusion: A clinical pathway for managing community-acquired pneumonia was associated with a reduction in length of hospital stay and readmittance. There was a trend towards mortality reduction.

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Section: This Retrospective Cohort Study Took Place In the Eldamentioning

confidence: 99%

“…The great variability in the clinical management of CAP highlights the need to standardised practices [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of a Clinical Pathway for Hospital Management of Community-Acquired Pneumonia: A Retrospective Cohort Study

Barchín¹,

Wikman-Jorgensen²,

Bello³

et al. 2021

J Biomed Res Environ Sci

View full text Add to dashboard Cite

show abstract

Desarrollo y proceso de mejora de la vía clínica “neumonía adquirida en la comunidad con ingreso hospitalario” en un hospital de ámbito comarcal

Cited by 1 publication

References 48 publications

Impact of a Clinical Pathway for Hospital Management of Community-Acquired Pneumonia: A Retrospective Cohort Study

Impact of a Clinical Pathway for Hospital Management of Community-Acquired Pneumonia: A Retrospective Cohort Study

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