Appropriateness of hospital admissions in general hospitals in Egypt.
We measured the rate of inappropriate admissions, and associated factors, in 3 general hospitals in Egypt. A total of 1191 admissions were reviewed using the Appropriateness Evaluation Protocol for adult patients and the Pediatric Appropriateness Evaluation Protocol for paediatric patients. Inappropriate admissions were 66.3% and 78.9% of admissions in the surgery departments of 2 hospitals compared with 1.9% in the 3rd hospital that followed a specific admission protocol for elective surgery. The paediatrics department had the lowest rates of inappropriate admissions in all hospitals (0%, 1.0% and 1.9%). On logistic regression analysis, the route of admission was the only factor significantly associated with inappropriate admissions in the departments of surgery, obstetrics/gynaecology and internal medicine.
Al-Tehewy
M
M
Health Care Quality Unit, Ain Shams University, Cairo, Egypt. al_tehewy@yahoo.com
Shehad
E
E
Al Gaafary
M
M
Al-Houssiny
M
M
Nabih
D
D
Salem
B
B
D000293:Adolescent; D000328:Adult; D004534:Egypt; D005260:Female; D006744:Hospital Bed Capacity, 100 to 299; D006748:Hospital Departments / Q000706:statistics & numerical data; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007388:Internal Medicine / Q000706:statistics & numerical data; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009775:Obstetrics and Gynecology Department, Hospital / Q000706:statistics & numerical data; D010343:Patient Admission / Q000706:statistics & numerical data*; D018579:Patient Selection; D012040:Regional Health Planning; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D019564:Unnecessary Procedures / Q000706:statistics & numerical data; D014600:Utilization Review