To compare the medical management of bacteremic pneumococcal pneumonia at a university-based and a community-based teaching hospital and evaluate strategies for performance measurement and subsequent improvement..
We conducted a retrospective cohort study involving a 450-bed university hospital in the inner city and a 400-bed private hospital in a rural community..
The medical records of all adults with bacteremic pneumococcal pneumonia admitted to a university and a community hospital during a 5-year period were reviewed.
Information about patient age, sex, underlying medical condition, severity of disease, health-care insurance, management, and outcome was collected and analyzed..
Patients at the two hospitals were similar in underlying illnesses and severity of disease.
In comparison with the community hospital, resource expenditure was greater at the university hospital, where all 11 identified diagnostic measures and treatment resources were used more often.
This difference was statistically significant for sputum cultures, all cultures, and lumbar punctures.
Despite the greater intensity of care, in-hospital mortality was higher at the university hospital (26%) than at the community hospital (12%) (P>0.1).. (...)
Mots-clés Pascal : Pneumonie, Bactériose, Infection, Etude cohorte, Pneumococcie, Streptococcie, Rétrospective, Facteur qualité, Communication information, Homme, Appareil respiratoire pathologie, Poumon pathologie
Mots-clés Pascal anglais : Pneumonia, Bacteriosis, Infection, Cohort study, Pneumococcal infection, Streptococcal infection, Retrospective, Q factor, Information communication, Human, Respiratory disease, Lung disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0102917
Code Inist : 002B05B02E. Création : 22/06/1998.