Causes of prolonged hospitalization in the Medicine Service of Hospital Agostinho Neto, in the city of Praia de Cabo-Verde

• DOI: 10.22533/at.ed.1593812303109

• Palavras-chave: Period of Hospital Stay, Prolonged Stay.

• Keywords: Period of Hospital Stay, Prolonged Stay.

• Abstract:

  The rational use of hospital beds, as well as adequate management of hospital stays, is often cited as an operational measure in hospitals. This article aimed to analyze the causes associated with prolonged hospitalization in the Medicine Service of Hospital Agostinho Neto. Methods: characterized as an observational retrospective and documentary cohort study carried out in the Medicine Service of the Agostinho Neto hospital, Praia Cabo-Verde. A cohort was identified in the administrative database of files of all patients admitted to the service during 2018. Results: 1008 patients were selected, of which 505 (50.1%) were female and 503 (49.9%) male aged between 13 and 98 years, with an average of 54 years and Standard deviation of 20.805. Regarding length of stay, 507 patients remained hospitalized for more than 7 days with an average length of stay of 10 days, with a minimum of 1 day and a maximum of 369 days. The most prevalent diagnoses were diseases of the circulatory system with 283 (28.1%), diseases of the respiratory system with 187 (16.6%), followed by infectious and parasitic diseases with 115 (11.4%), and diseases of the genitourinary system with 88 (8.7%). Other clinical conditions had frequencies below 10%. There was a statistically significant relationship between the variable age and length of stay p= 0.033, as well as a statistically significant association between length of stay and diagnosis with p=<.001. Conclusion: age is one of the causes associated with prolonged hospitalization time and the other variables did not show a statistically significant association with the exception of the hospitalization diagnosis, that is, the higher prevalence of diseases of the circulatory system proved to be an important factor in the length of stay. hospital admission.