Department of Pediatrics, Farwania Hospital, Kuwait City, Kuwait. magdyhshafik @ hotmail.com
Med Princ Pract. 2012;21(6):516-21. doi: 10.1159/000339084. Epub 2012 Jun 6.
To determine the rate of inappropriate pediatric admissions using the Pediatric Appropriateness Evaluation Protocol (PAEP) and to examine variables associated with inappropriateness of admissions.
A prospective study was conducted in the Department of Pediatrics, Farwania General Hospital, Kuwait, to examine successive admissions for appropriateness of admission as well as several sociodemographic characteristics over a 5-month period (August 2010 to December 2010). A total of 1,022 admissions were included.
Of the 1,022 admissions, 416 (40.7%) were considered inappropriate. Factors associated with a higher rate of inappropriate admission included older age of patients and self-referral.
The rate of inappropriate hospitalization of children was high in Farwania Hospital, Kuwait, probably due to the relatively free health care services, parental preference for hospital care, easy access to hospital services, and insufficient education about the child's condition.
使用儿科适宜性评估方案(PAEP)确定儿科不适当入院的比例,并研究与入院不适当相关的变量。
在科威特法尔瓦尼亚综合医院儿科进行了一项前瞻性研究,在 5 个月期间(2010 年 8 月至 2010 年 12 月),对连续入院的适宜性以及若干社会人口学特征进行了检查。共纳入 1022 例入院患者。
在 1022 例入院患者中,416 例(40.7%)被认为不适当。与较高比例的不适当入院相关的因素包括患者年龄较大和自行转诊。
科威特法尔瓦尼亚医院儿童住院治疗的不适当比例较高,可能是由于相对自由的医疗保健服务、父母对住院治疗的偏好、获得医院服务的便利性以及对儿童病情的教育不足所致。