[医院获得性菌血症所致住院时间延长：住院适宜性方案的效用]
[Excess length of stay attributable to nosocomial bacteremia: usefulness of the Hospitalization Appropriateness Protocol].
作者信息
Vilella A, Prat A, Trilla A, Bayas J M, Asenjo M A, Salleras L
机构信息
Servei de Medicina Preventiva, Hospital Clínic, Facultat de Medicina, Universitat de Barcelona.
出版信息
Med Clin (Barc). 1999 Nov 13;113(16):608-10.
BACKGROUND
To evaluate the usefulness of the Appropriateness Evaluation Protocol (AEP) for assessing the extra length of stay attributable to nosocomial bacteremia.
PATIENTS AND METHODS
Retrospective review of the medical records (1989, 1990 and 1991) of all patients, who developed Staphylococcus aureus nosocomial bacteremia. Evaluation of hospital stay was performed using the AEP. Calculation of the kappa index and intraclass correlation coefficient.
RESULTS
A total of 158 patients were included S. aureus nosocomial bacteremia is responsible for a mean excess length of stay of 4.3 days per patient. Kappa index for the method used was 76%, and intraclass correlation coefficient was 61%.
CONCLUSIONS
The AEP has been shown to be a reliable tool for assessing the extra days of stay attributable to nosocomial bacteremia in the Spanish National Health System. The use of AEP should be extended to assess the extra stay attributable to other types of nosocomial infections.
背景
评估适宜性评估方案（AEP）在评估因医院获得性菌血症导致的额外住院时间方面的实用性。
患者与方法
回顾性分析1989年、1990年和1991年所有发生金黄色葡萄球菌医院获得性菌血症患者的病历。使用AEP评估住院时间。计算kappa指数和组内相关系数。
结果
共纳入158例患者，金黄色葡萄球菌医院获得性菌血症导致每位患者平均额外住院时间为4.3天。所用方法的kappa指数为76%，组内相关系数为61%。
结论
在西班牙国家卫生系统中，AEP已被证明是评估因医院获得性菌血症导致的额外住院天数的可靠工具。应扩大AEP的使用范围，以评估其他类型医院感染导致的额外住院时间。
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