%0 Journal Article
%T Hospitalist©\Run Short©\Stay Unit
%A Abdo Asmar
%A MD
%A Benjamin Mba
%A MBBS
%A MRCP
%A Brian P. Lucas
%A MD
%A MS
%A Imran Nisar
%A MD
%A Julia L. Bienias
%A SCD
%A Kuenok Lee
%A MD
%A Rudolf Kumapley
%A MBChB
%A Samuel Ofori©\Ntow
%A MBCHB
%A Shane Borkowsky
%A MD
%A Trevor Lewis
%A MD
%J Journal of Hospital Medicine
%D 2009
%R 10.1002/jhm.386
%X AbstractBACKGROUND:Short©\stay units (SSUs) provide an alternative to traditional inpatient services for patients with short anticipated hospital stays. Yet little is known about which patient types predict SSU success.OBJECTIVE:To describe patients admitted to our hospitalist©\run SSU and explore predictors of length©\of©\stay (LOS) and eventual admission to traditional inpatient services.DESIGN:Prospective observational cohort study.SETTING:Large public teaching hospital.PATIENTS:Consecutive admissions (n = 755) to the SSU over 4 months.INTERVENTION:Hospitalist attending physicians prospectively collected data from patients' histories, physical exams, and medical records upon admission and discharge.MEASUREMENTS:Risk assessments were made for patients with our most common provisional diagnoses: possible acute coronary syndrome (ACS) and heart failure. Patient stays were considered successful when LOS was less than 72 hours and eventual admission to traditional inpatient services was not required.RESULTS:Of 738 eligible patients, 79% (n = 582) had successful SSU stays. In a multivariable model, the provisional diagnosis of heart failure predicted stays longer than 72 hours (P = 0.007) but risk assessments were unimportant. Patients who received specialty consultations were most likely to need eventual admission (odds ratio [OR], 13.1; 95% confidence interval [CI], 6.9©\24.9), and the likelihood of long stays was inversely proportional to the accessibility of diagnostic tests.CONCLUSIONS:In our hospitalist©\run SSU, the inaccessibility of diagnostic tests and the need for specialty consultations were the most important predictors of unsuccessful stays. Designs for other SSUs that care for mostly low©\risk patients should focus on matching patients' diagnostic and consultative needs with readily accessible services. Journal of Hospital Medicine 2009;4:276¨C284. £¿ 2009 Society of Hospital Medicine
%U https://www.journalofhospitalmedicine.com/jhospmed/article/127753/hospitalist-run-short-stay-unit