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Factors associated with increased incidence of prolonged hospital stay of Hospital II de Chocope, La Libertad, Peru.
Peru (IFMSA Peru) - Universidad Cesar Vallejo, Trujillo
Department of Medicine, Division of Medicine, Hospital II Chocope. Panamericana Norte Highway, Chocope La Libertad, Peru 13711
Joana Cabrera Pimentel MD.
Joana Cabrera Pimentel MD.
Required: English, Accepted: Spanish
Type of Research Project
- Basic science
What is the background of the project?
The hospitalization process is commonly very useful in the care of patients when there is a correct diagnosis and selection; however, it can also be a double-edged sword, as is often the case in medicine. There are many factors that can alter or seriously affect the health of a patient and can even cause death; among these factors we can find intrahospital infections, nutritional problems, pain or lack of security, even psychological factors. In the world, more than 1.4 million people acquire diseases within the hospital itself. Because of all these reasons, we chose this topic, because of its great relevance in our reality, in addition to the fact that it can serve as a basis for carrying out hospital strategies that improve the problem of prolonged hospitalization.
What is the aim of the project?
To determine the factors associated with a higher incidence of prolonged hospital stay in the Division of Medicine of Hospital II de Chocope, La Libertad, Peru.
What techniques and methods are used?
1. Papers review: searching and reading of scientific papers using bibliographic searchers as PubMed (Public/Publisher MEDLINE), Scopus (Elsevier’s abstract and citation database) and SCIELO (Scientific Electronic Library Online). The MeSH (Medical Subject Heading) terms used for this searching will be Length of Stay, Stay Length, Stay Lengths, Hospital Stay, Hospital Stays, Stay, Hospital and Stays, Hospital. 2. Historical records collection: 2.1. Collecting historical records of hospitalized patients and discharged patients treated in Hospital II Chocope from April 2020 onwards. 3. Data collection: 3.1 Data collection techniques: Documentary analysis (medical records) 3.2 Data collection instruments: A data collection sheet will be used in order to extract the following data: number, name initials, medical history code, service, age, birthdate, gender, date of admission, hospital discharge date, days of hospitalization, admission form, admission diagnosis, discharge diagnosis, indicators of the following factors: health personnel, health system failures, hospital administration, patient characteristics and others . 3.3 Instrument validity and reliability: These will be provided by a medical expert judgement. 4.Data analysis: 4.1 Data management: The database will be developed using the IBM Statistical Package for the Social Sciences (SPSS) Statistics 22 program, a program specialized in data management; and it will build circular, scatter, bubble, histogram and pictogram graphs. 4.2 Descriptive analysis: As a descriptive study, the analysis is also descriptive taking into account the following factors: health personnel, health system failures, hospital administration, patient characteristics and others.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks of the student will be performed on his/her own
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
-Papers review: The student trough a systematic search specified previously in the techniques and methods section will search and read original reviews to learn more about the length of stay in hospitals and be able to use properly the data collection instrument. -Collection of historical records: The student can access to the original medical records and collect them according to the following inclusion criteria: Patients who were hospitalized for the topic of Emergency Medicine, with a medical history with complete data and who completed the days of hospitalization indicated by the doctor. -Fill of data collection sheets: the instrument will be filled with the information of the medical records specified in the techniques and methods section -Data management: The student, using all the data of the data collection sheets, will create a database using the software SPSS specified in the techniques and methods section. -Data analysis: using circular, scatter, bubble, histogram and pictogram graphs made with the statistical software previously mentioned. -Writing of results and discussion: With the information of the database and its analysis, the student will be able to write a part of the “Results” and “Discussion” sections of the final scientific report.
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, there will be. Introduction of the project by the tutor. Training about the fill of the data collection sheet by the tutor.
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster - The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Writing skills, descriptive analysis of clinical cases skills. Subjects passed: internal medicine Previous experience with: review of historical records
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts: - Medical students
- 1. Quinn MP; Courtney AE; Fogarty DG; O’Reilly D; Cardwell C; McNamee PT. Influence of prolonged hospitalization on overall bed occupancy: A five-year single-centre study. QJM [Internet]. 2007 Sep 1 [cited 2020 Oct 2];100(9):561–6. Available from: https://academic.oup.com/qjmed/article/100/9/561/1537488
- 2. Barba R; Marco J; Canora J; Plaza S; Juncos SN; Hinojosa J; et al. Prolonged length of stay in hospitalized internal medicine patients. Eur J Intern Med [Internet]. 2015 Dec 1 [cited 2020 Oct 2];26(10):772–5. Available from: http://www.ejinme.com/article/S0953620515003404/fulltext
- 3. Toh HJ; Lim ZY; Yap P; Tang T. Factors associated with prolonged length of stay in older patients. Singapore Med J [Internet]. 2017 Mar 1 [cited 2020 Oct 2];58(3):134–8. Available from: /pmc/articles/PMC5360868/?report=abstract
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