Are changes in vital signs, mobility, and mental status while in hospital measures of the quality of care?

John Kellett*, Mark Holland, Jelmer Alsma, Christian H. Nickel, Mikkel Brabrand, Alfred Lumala

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)
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Abstract

Introduction Little is known of the changes in patients’ health condition while in hospital in low-resource settings. The aim of this exploratory study is to examine dependency of patients on hospital admission and discharge in a low-resource sub-Saharan hospital. Methods We carried out a retrospective observational study of changes in the health condition, as reflected by their mental status, mobility and vital signs, of 5,888 consecutive patients between hospital admission and discharge. Results Mental status, mobility and vital signs were normal in 25% of patients on hospital admission and 30% of patients at discharge. Although very few patients with normal mental status, mobility and vital signs on admission died in hospital, the condition of 40% of them deteriorated. Conclusion No comparative data on changes in health condition between hospital admission and discharge have been published. Our proposed health condition categories identify changes that may matter most to patients and should be considered as a standard metric of hospital care.

Original languageEnglish
JournalClinical Medicine, Journal of the Royal College of Physicians of London
Volume22
Issue number4
DOIs
Publication statusPublished - Jul 2022

Bibliographical note

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© Royal College of Physicians 2022. All rights reserved.

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