Curtis Brett R, Tian Shuo, Shrestha Sachita, Denton Trevor, Haller Blake, Sebolt Jonathan, Adams Michael, Taylor Stephanie P, Paje David
Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
J Hosp Med. 2024 Dec;19(12):1155-1159. doi: 10.1002/jhm.13484. Epub 2024 Aug 18.
We examined the impact of a hospital medicine medical procedure service (MPS) on hospital length of stay (LOS), postprocedure LOS, and completion of procedures on weekends. We included 4952 patients admitted to our large academic hospital between July 1, 2021 and July 31, 2023 who underwent thoracentesis, paracentesis, or lumbar puncture (LP). MPS performed 30% (1499) of these procedures. After adjusting for age, sex, body mass index, Charlson comorbidity score, and procedure type, procedure performance by MPS was associated with a shorter total hospital LOS (incidence rate ratio [IRR]: 0.93; 95% confidence interval [CI]: 0.87-0.99) and postprocedure LOS (IRR: 0.82; 95% CI: 0.76-0.88). Also, MPS-performed procedures were twice as likely to occur on weekends compared to non-MPS-performed procedures (odds ratio [OR]: 2.05; 95% CI: 1.75-2.41). These findings support the beneficial impact of MPS on operational efficiency, an important outcome for both patients and hospitals.
我们研究了医院内科医疗程序服务（MPS）对住院时长（LOS）、术后住院时长以及周末程序完成情况的影响。我们纳入了2021年7月1日至2023年7月31日期间入住我们大型学术医院并接受胸腔穿刺术、腹腔穿刺术或腰椎穿刺术（LP）的4952例患者。这些程序中有30%（1499例）由MPS执行。在对年龄、性别、体重指数、查尔森合并症评分和程序类型进行调整后，MPS执行程序与较短的总住院时长（发病率比[IRR]：0.93；95%置信区间[CI]：0.87 - 0.99）和术后住院时长（IRR：0.82；95%CI：0.76 - 0.88）相关。此外，与非MPS执行的程序相比，MPS执行的程序在周末发生的可能性是其两倍（优势比[OR]：2.05；95%CI：1.75 - 2.41）。这些发现支持了MPS对运营效率的有益影响，这对患者和医院来说都是一个重要的结果。
