The Library
Length of stay in acute medical admissions : analysis from The Society for Acute Medicine benchmarking audit
Tools
Atkin, Catherine, Knight, Thomas, Cooksley, Tim, Holland, Mark, Subbe, Chris, Kennedy, Adrian, Varia, Ragit and Lasserson, Daniel (2022) Length of stay in acute medical admissions : analysis from The Society for Acute Medicine benchmarking audit. Acute Medicine, 21 (1). pp. 27-33. doi:10.52964/AMJA.0889 ISSN 1747-4884.
PDF
ms-180122-wrap--length_of_stay_samba_acute_medicine.pdf - Accepted Version Embargoed item. Restricted access to Repository staff only - Requires a PDF viewer. Download (396Kb) |
Official URL: https://doi.org/10.52964/AMJA.0889
Abstract
Introduction Medical admissions to hospital represent a diverse range of patients, from those managed on ambulatory pathways through Same Day Emergency Care (SDEC) services, to those requiring prolonged inpatient admission. An understanding of current patterns of admission through acute medicine services and patient factors associated with longer hospital admission is needed to guide service planning and improvement. Methods Data from the Society for Acute Medicine Benchmarking Audit (SAMBA) 2021 were analysed. Patients admitted to acute medicine services during a 24-hour period on 17th June 2021 were included, with data recording patient demographics, frailty score, acuity and follow-up of outcomes after seven days. Results 8101 unplanned medical admissions were included, from 156 hospitals. 31.6% were discharged without overnight admission; the median hospital performance was 30.1% (IQR 19.3-39.3%). 22.1% of patients remained in hospital for more than 7 days. Those remaining in hospital for more than 48 hours and for more than seven days were more likely to be aged over 70, to be frail, or to have a NEWS2 of 3 or more on arrival to hospital. Conclusion The proportion of acute medical attendances receiving overnight admission varies between hospitals. Length of stay is impacted by patient factors and illness acuity. Strategies to reduce inpatient service pressures must ensure effective care for older patients and those with frailty.
Item Type: | Journal Article | ||||||
---|---|---|---|---|---|---|---|
Alternative Title: | |||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
||||||
Journal or Publication Title: | Acute Medicine | ||||||
Publisher: | Rila Publications Ltd | ||||||
ISSN: | 1747-4884 | ||||||
Official Date: | 28 March 2022 | ||||||
Dates: |
|
||||||
Volume: | 21 | ||||||
Number: | 1 | ||||||
Page Range: | pp. 27-33 | ||||||
DOI: | 10.52964/AMJA.0889 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Date of first compliant deposit: | 19 January 2022 | ||||||
Related URLs: |
Request changes or add full text files to a record
Repository staff actions (login required)
View Item |