Dataset Information

Factors associated with length of stay and death in tube-fed patients: A cross-sectional multicentre study.

ABSTRACT:

Objectives

To analyse the factors associated with length of stay (LOS) and death in nasogastric/nasoenteric tube (NG/NET)-fed patients.

Design

A cross-sectional multicentre study.

Method

Data collection took place from October 2017-April 2019, and the sample consisted of 365 participants from seven Brazilian hospitals. Demographic, clinical and therapeutic data were collected from the patients' medical records. Data analysis was performed using bivariate and multivariate tests, considering a significance level of p<.05.

Results

Most patients were male, older adults, with high risk of death and highly dependent on nursing care. The LOS was associated with age, patient care complexity and length of NG/NET use. Death was associated with patient age. In the multivariate analysis, patients highly dependent on nursing care, and intensive and semi-intensive care had a greater chance of dying when compared with patients receiving minimal care. Screening for factors affecting LOS and death is important to plan effective nursing care.

SUBMITTER: Freitas LA

PROVIDER: S-EPMC8363365 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Factors associated with length of stay and death in tube-fed patients: A cross-sectional multicentre study.

Freitas Leticia Alves LA Fagundes Alex Luís AL do Prado Patrícia Rezende PR Pereira Marta Cristiane Alves MCA de Medeiros Adriane Pinto AP de Freitas Ligia Menezes LM Teixeira Thalyta Cardoso Alux TCA Koepp Janine J de Carvalho Rhanna Emanuela Fontenele Lima REFL Gimenes Fernanda Raphael Escobar FRE

Nursing open 20210127 5

<h4>Objectives</h4>To analyse the factors associated with length of stay (LOS) and death in nasogastric/nasoenteric tube (NG/NET)-fed patients.<h4>Design</h4>A cross-sectional multicentre study.<h4>Method</h4>Data collection took place from October 2017-April 2019, and the sample consisted of 365 participants from seven Brazilian hospitals. Demographic, clinical and therapeutic data were collected from the patients' medical records. Data analysis was performed using bivariate and multivariate te ...[more]

PMID: 33503335

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Project description:ObjectivesTo investigate factors associated with hospital length of stay (LOS) in patients admitted with suspected malaria using a competing risk approach.SettingCounty government referrals and major faith-based hospitals in Kenya in 2018.DesignSecondary analysis of a cross-sectional survey data.ParticipantsData were extracted from 2396 medical records of patients admitted with suspected malaria at 90 hospitals.Outcome measuresLOS, defined as time to discharge, was the primary event of interest, and time to death was the competing event against patient factors assessed during admission and hospitalisation.ResultsAmong the patients analysed, 2283 were discharged, 49 died and 64 were censored. The median LOS was 4 days (IQR: 3-6 days). The cumulative incidence of discharge significantly decreased (p<0.05) by 12.7% (subdistribution-HR (SDHR): 0.873; 95% CI 0.789 to 0.967) when the respiratory rate was assessed, by 14.1% (SDHR 0.859; 95% CI 0.754 to 0.978) when oxygen saturation was monitored, by 23.1% (SDHR 0.769; 95% CI 0.709 to 0.833) and 23.4% (SDHR 0.766; 95% CI 0.704 to 0.833) when haemoglobin/haematocrit and glucose/random blood sugar were performed, respectively, and by 30.4% (SDHR 0.696; 95% CI 0.626 to 0.774) when patients had at least one clinical feature of severe malaria. Conversely, patients with confirmed severe malaria and those treated with injectable artesunate had a significantly increased cumulative incidence of discharge by 21.4% (SDHR 1.214; 95% CI 1.082 to 1.362) and 33.9% (SDHR 1.339; 95% CI 1.184 to 1.515), respectively.ConclusionsFactors of inpatient clinical processes that influence hospital LOS were identified. These can be targeted during quality improvement interventions to enhance health service delivery in Kenya. Early recognition and appropriate management of the signs of malaria severity could greatly affect beneficial outcomes. Strengthening clinical practices and nursing care according to national case management guidelines should be a priority for malaria control managers in Kenya.

Dataset Information

Factors associated with length of stay and death in tube-fed patients: A cross-sectional multicentre study.

Objectives

Design

Method

Results

Publications

Factors associated with length of stay and death in tube-fed patients: A cross-sectional multicentre study.

Similar Datasets

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