Are changes in vital signs, mobility and mental status while in hospital measures of the quality of care?

Journal: Clinical medicine (London, England)

Volume: 22

Issue: 4

Year of Publication: 

Affiliated Institutions:  Hospital of South-West Jutland, Esbjerg, Denmark. Bolton University, Bolton, UK. Erasmus University Medical Center, Rotterdam, the Netherlands. University Hospital Basel, Basel, Switzerland. Kitovu Hospital, Masaka, Uganda.

Abstract summary 

Little is known of the changes in patients' health condition while in hospital in low-resource settings. The aim of this exploratory study is to examine dependency of patients on hospital admission and discharge in a low-resource sub-Saharan hospital.We carried out a retrospective observational study of changes in the health condition, as reflected by their mental status, mobility and vital signs, of 5,888 consecutive patients between hospital admission and discharge.Mental status, mobility and vital signs were normal in 25% of patients on hospital admission and 30% of patients at discharge. Although very few patients with normal mental status, mobility and vital signs on admission died in hospital, the condition of 40% of them deteriorated.No comparative data on changes in health condition between hospital admission and discharge have been published. Our proposed health condition categories identify changes that may matter most to patients and should be considered as a standard metric of hospital care.

Authors & Co-authors:  Kellett John J Holland Mark M Alsma Jelmer J Nickel Christian H CH Brabrand Mikkel M Lumala Alfred A

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Nickel CH, Kellett J, Nieves Ortega R, et al. . A simple prognostic score predicts one-year mortality of alert and calm emergency department patients: A prospective two-center observational study. Int J Clin Pract 2020;74:e13481.
Authors :  6
Identifiers
Doi : 10.7861/clinmed.2021-0712
SSN : 1473-4893
Study Population
Male,Female
Mesh Terms
Other Terms
Quality of care;hospital medicine;patient-preferred outcomes;quality metrics;risks of hospitalisation
Study Design
Exploratory Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
England