Rapid intensive observation (RIO) units have been created to guarantee high standards of care in a sustainable health-care system. Within short stay units (SSUs), which are a subgroup of RIOs, only rapidly manageable patients should be admitted. Physicians are unable to predict the length of stay (LOS) as objective criteria to make such a prediction are missing. A retrospective observational study was carried out to identify the objective criteria for admission within a cardiovascular care-oriented SSU. Over a period of 317days, 340 patients (age 69.4±14.7years) were admitted to a pilot SSU within our internal medicine department. The most frequent diagnoses were chest pain (45.9%), syncope (12.9%), and supraventricular arrhythmias (11.2%). The median LOS was 4days (quartile 1:3; quartile 3:7). Predictors of LOS≤96h were age<80, hemoglobin>115g/L, estimated glomerular filtration rate>45mL/min/1.73m2, Charlson Comorbidity Index<3, Barthel Index>40, diagnosis of chest pain, syncope, supraventricular arrhythmias, or acute heart failure. The HEART (history, ECG, age, risk factors, troponin) score was found to be excellent in risk stratification of patients admitted for chest pain. Blood tests and anamnestic variables can be used to predict the LOS and thus SSU admission. The HEART score may help in the classification of patients with chest pain admitted to an SSU.

Admission criteria for a cardiovascular short stay unit: a retrospective analysis on a pilot unit

Capone, Federico;Molinari, Leonardo;Giannini, Sandro;Fabris, Fabrizio;
2021

Abstract

Rapid intensive observation (RIO) units have been created to guarantee high standards of care in a sustainable health-care system. Within short stay units (SSUs), which are a subgroup of RIOs, only rapidly manageable patients should be admitted. Physicians are unable to predict the length of stay (LOS) as objective criteria to make such a prediction are missing. A retrospective observational study was carried out to identify the objective criteria for admission within a cardiovascular care-oriented SSU. Over a period of 317days, 340 patients (age 69.4±14.7years) were admitted to a pilot SSU within our internal medicine department. The most frequent diagnoses were chest pain (45.9%), syncope (12.9%), and supraventricular arrhythmias (11.2%). The median LOS was 4days (quartile 1:3; quartile 3:7). Predictors of LOS≤96h were age<80, hemoglobin>115g/L, estimated glomerular filtration rate>45mL/min/1.73m2, Charlson Comorbidity Index<3, Barthel Index>40, diagnosis of chest pain, syncope, supraventricular arrhythmias, or acute heart failure. The HEART (history, ECG, age, risk factors, troponin) score was found to be excellent in risk stratification of patients admitted for chest pain. Blood tests and anamnestic variables can be used to predict the LOS and thus SSU admission. The HEART score may help in the classification of patients with chest pain admitted to an SSU.
File in questo prodotto:
File Dimensione Formato  
s11739-021-02700-4.pdf

accesso aperto

Descrizione: Open access funding provided by Università degli Studi di Padova within the CRUI-CARE Agreement.. None
Tipologia: Published (publisher's version)
Licenza: Creative commons
Dimensione 555.89 kB
Formato Adobe PDF
555.89 kB Adobe PDF Visualizza/Apri
Pubblicazioni consigliate

Caricamento pubblicazioni consigliate

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11577/3386969
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 0
  • ???jsp.display-item.citation.isi??? 0
social impact