IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i21p7951-d436978.html
   My bibliography  Save this article

Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study

Author

Listed:
  • Ana María Porcel-Gálvez

    (Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain
    Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Universidad de Sevilla, 41009 Seville, Spain)

  • Sergio Barrientos-Trigo

    (Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain
    Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Universidad de Sevilla, 41009 Seville, Spain)

  • Eugenia Gil-García

    (Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain
    Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Universidad de Sevilla, 41009 Seville, Spain)

  • Olivia Aguilera-Castillo

    (Hospital San Agustín de Linares, Servicio Andaluz de Salud, 23700 Linares (Jaen), Spain)

  • Antonio Juan Pérez-Fernández

    (Hospital Santa Ana de Motril Hospital, Servicio Andaluz de Salud, 18600 Motril (Granada), Spain)

  • Elena Fernández-García

    (Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Seville, Spain
    Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 Complex Care, Chronic and Health Outcomes, Universidad de Sevilla, 41009 Seville, Spain)

Abstract

Background: In-hospital mortality is a key indicator of the quality of care. Studies so far have demonstrated the influence of patient and hospital-related factors on in-hospital mortality. Currently, new variables, such as nursing workload or the level of dependency, are being incorporated. We aimed to identify which individual, clinical and hospital characteristics are related to hospital mortality. Methods : A multicentre prospective observational study design was used. Sampling was conducted between February 2015 and October 2017. Patients over 16 years, admitted to medical or surgical units at 11 public hospitals in Andalusia (Spain), with a foreseeable stay of at least 48 h were included. Multivariate regression analyses were performed to analyse the data. Results : The sample consisted of 3821 assessments conducted in 1004 patients. The mean profile was that of a male (52%), mean age of 64.5 years old, admitted to a medical unit (56.5%), with an informal caregiver (60%). In-hospital mortality was 4%. The INICIARE (Inventario del Nivel de Cuidados Mediante Indicadores de Clasificación de Resultados de Enfermería) scale yielded an adjusted odds ratio [AOR] of 0.987 (95% confidence interval [CI]: 0.97–0.99) and the nurse staffing level (NSL) yielded an AOR of 1.197 (95% CI: 1.02–1.4). Conclusion : Nursing care dependency measured by INICIARE and nurse staffing level was associated with in-hospital mortality.

Suggested Citation

  • Ana María Porcel-Gálvez & Sergio Barrientos-Trigo & Eugenia Gil-García & Olivia Aguilera-Castillo & Antonio Juan Pérez-Fernández & Elena Fernández-García, 2020. "Factors Associated with In-Hospital Mortality in Acute Care Hospital Settings: A Prospective Observational Study," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7951-:d:436978
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/21/7951/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/21/7951/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yao-Chun Wen & Liang-Kung Chen & Fei-Yuan Hsiao, 2017. "Predicting mortality and hospitalization of older adults by the multimorbidity frailty index," PLOS ONE, Public Library of Science, vol. 12(11), pages 1-10, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Beata Wieczorek-Wójcik & Aleksandra Gaworska-Krzemińska & Piotr Szynkiewicz & Michał Wójcik & Monika Orzechowska & Dorota Kilańska, 2022. "Cost-Effectiveness Analysis of Improving Nurses’ Education Level in the Context of In-Hospital Mortality," IJERPH, MDPI, vol. 19(2), pages 1-15, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mark O’Donovan & Duygu Sezgin & Zubair Kabir & Aaron Liew & Rónán O’Caoimh, 2020. "Assessing Global Frailty Scores: Development of a Global Burden of Disease-Frailty Index (GBD-FI)," IJERPH, MDPI, vol. 17(16), pages 1-17, August.
    2. Chih-Hsuan Su & Shih-Yi Lin & Chia-Lin Lee & Chu-Sheng Lin & Pi-Shan Hsu & Yu-Shan Lee, 2022. "Prediction of Mortality in Older Hospitalized Patients after Discharge as Determined by Comprehensive Geriatric Assessment," IJERPH, MDPI, vol. 19(13), pages 1-10, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:21:p:7951-:d:436978. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.