Development and Implementation of a Clinical Pathway to Reduce Inappropriate Admissions Among Patients with Community-Acquired Pneumonia in a Private Health System in Brazil: An Observational Cohort Study and a Promising Tool for Efficiency Improvement

Rodrigo C Moreira1 Department of Clinical Research, United Health Group, Rio de Janeiro, Brazil

https://orcid.org/0000-0002-3256-9694 View further author information

Hugo T Mendonca-Filho2 Clinical Intelligence, Amil Assistencia Médica Internacional, Rio de Janeiro, BrazilCorrespondence[email protected]
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Ayla M Farias2 Clinical Intelligence, Amil Assistencia Médica Internacional, Rio de Janeiro, Brazil

https://orcid.org/0000-0001-6777-9352 View further author information

Henry Sznejder3 Department of Analytics, Amil Assistencia Médica Internacional, Rio de Janeiro, BrazilView further author information

Eddy Lang4 Emergency Medicine, University of Calgary, Calgary, CanadaView further author information

Margaret M Wilson5 United Healthcare Global, MO, USAView further author information

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Table 1 Comparison of Demographic Characteristics Among Subjects with Suspect CAP by CRB-65 Risk Score

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Figure 1 Monthly trends with the respective regression line for the proportion of patients with low risk admitted to the hospitals from November 2015 to January 2018*.

Notes: *The denominator for the proportion is the total number of patients assigned as low-risk CURB-65 in the emergency department. The regression line was derived from a linear model.

Table 2 Comparison of Clinical and Laboratory Characteristics Among Participants with Suspected CAP That Were Admitted to the Hospitals According to 30-Day Mortality

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Table 3 Final Logistic Regression Model for the Prediction of 30-Day Mortality in Patients Admitted with Suspected CAP

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Table 4 Clinical and Laboratory Variables Associated with Hospital Readmission Among the Low-Risk Admitted CAP Patients

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Development and Implementation of a Clinical Pathway to Reduce Inappropriate Admissions Among Patients with Community-Acquired Pneumonia in a Private Health System in Brazil: An Observational Cohort Study and a Promising Tool for Efficiency Improvement

Table 1 Comparison of Demographic Characteristics Among Subjects with Suspect CAP by CRB-65 Risk Score

Table 2 Comparison of Clinical and Laboratory Characteristics Among Participants with Suspected CAP That Were Admitted to the Hospitals According to 30-Day Mortality

Table 3 Final Logistic Regression Model for the Prediction of 30-Day Mortality in Patients Admitted with Suspected CAP

Table 4 Clinical and Laboratory Variables Associated with Hospital Readmission Among the Low-Risk Admitted CAP Patients

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Development and Implementation of a Clinical Pathway to Reduce Inappropriate Admissions Among Patients with Community-Acquired Pneumonia in a Private Health System in Brazil: An Observational Cohort Study and a Promising Tool for Efficiency Improvement

Figures & data

Table 1 Comparison of Demographic Characteristics Among Subjects with Suspect CAP by CRB-65 Risk Score

Table 2 Comparison of Clinical and Laboratory Characteristics Among Participants with Suspected CAP That Were Admitted to the Hospitals According to 30-Day Mortality

Table 3 Final Logistic Regression Model for the Prediction of 30-Day Mortality in Patients Admitted with Suspected CAP

Table 4 Clinical and Laboratory Variables Associated with Hospital Readmission Among the Low-Risk Admitted CAP Patients

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