Keywords
Bed occupancy
Hospital units
Health services administration
Determination of health care needs
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Abstract
Objective: To evaluate the relationship between the degree of dependence on nursing care and prolonged hospital stay. Methods: A cohort study conducted at a Brazilian university hospital from June to October 2018. The study sample comprised adult patients admitted to internal medicine units. Hospitalizations longer than the median were considered prolonged. A survival analysis model with competing risk was applied to test the association between the Fugulin score and prolonged hospital stay. Results: 419 (58%) patients participated in the study out of a total of 723 hospitalized during the period. The median age was 60 years [IQR] 47-69), the majority (282; 67.5%) of the patients were classified as “minimal care” on the Fugulin scale, followed by “intermediate care” (81; 19.4%) and “high-dependency and semi-intensive care” (55; 13.2%). The median length of stay was 17 (IQR10–30) days. Prolonged length of stay was associated with Fugulin sub-hazard ratio (sub-HR) score = 0.688 (95% CI, 0.477–0.992) for minimal care and sub-HR = 0.409 (95% CI, 0.268–0.624) for intermediate care. Conclusion: The degree of dependence on nursing care was associated with prolonged length of stay, and a lower degree of dependence was associated with a lower risk of prolonged hospitalization.
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