Inappropriateness Of Hospital Days And Causes Of Failure In A Gastroenterology And Internal Medicine Ward

Objectives - To analyse patients features linked to hospital inappropriateness and to highlight causes of inapropriate days in a Gastroenterology and Internal Medicine ward of a teaching hospital.Methods -Appropriateness of patients' hospital days (2 months activity) was assessed Using the French version of criteria of the Appropriateness Evaluation Protocol. Reasons of inappropriate hospital clays were identified through a questionnaire based on patients' need.Results - Two hundred and twenty patients were studied. Among the 2151 hospital days assessed, 880 (41%) were inappropriate. Two different groups of inappropriate stays were brought up. In the first group, the inappropriate period duration was short (less than or equal to 5 days) and patients were not from those of the appropriate group. in the second group, the inappropriate period duration was long ( > 5 days) and 710 days (33%) were inappropriate. Patients were elderly, lived alone and their disease did not concern the gastrointestinal tract. During inappropriate days, they expected access to less technical facilities than the short stay medical ward.Conclusion - The socio-demographic and medical features of the patients from the long duration inappropriateness group should help to limit inappropriate hospital days: a significant economic and organizational stake for patients, hospital and public interest.