Table 2.
Clinical pathways for adult and paediatric cases during the study periods (Period 1: 2000–2003, Period 2: 2004–2008, Period 3: 2009–2013)
| Period 1 | Period 2 | Period 3 | p value | Period 2 vs Period 1 | Period 3 vs Period 1 | |
|---|---|---|---|---|---|---|
| n (%) | n (%) | n (%) | Difference (CI 95 %) | Difference (CI 95 %) | ||
| Adulta | n = 5185 | n = 5159 | n = 4643 | |||
| Overall hospitalization | 2971 (57) | 2729 (53) | 2335 (50) | <10−10 | −4 (−6; −2) | −7 (−9; −5) |
| Medicine ward | 2230 (48) | 1578 (38) | 1318 (34) | <10−15 | −10 (−13; −9) | −15 (−17; −13) |
| MW length of stay (mean ± SD) (days) | 3.9 (4.0) | 4.1 (4.5) | 4.2 (3.6) | 0.08 | 0.2 (−0.4; 0.09) | 0.3 (0.05; 0.5) |
| ICU | 174 (4) | 181 (4) | 303 (8) | <10−7 | 0 (0; 1) | 4 (3; 5) |
| ICU length of stay (mean ± SD) (days) | 5.7 (7.1) | 5.3 (8.3) | 3.3 (3.5) | <10−4 | −0.4 (−1.2; 2.0) | −2.4 (−3.3; −1.4) |
| Proportion of ICU/total admissions (%) | 7.2 | 10.3 | 18.7 | <10−15 | 3.1 (2.8; 3.4) | 11.5 (11; 12) |
| Ambulatory care | 2214 (43) | 2430 (47) | 2308 (50) | 4.4.10−11 | 4 (2; 6) | 7 (5; 9) |
| Childrena | n = 1891 | n = 1189 | n = 847 | |||
| Overall hospitalization | 1481 (78) | 988 (83) | 641 (76) | 0.20 | 5 (2; 8) | −2 (−6; 1) |
| Medicine ward | 1185 (74) | 676 (74) | 477 (67) | 0.06 | 0 (−3; 4) | −7 (−11; −3) |
| MW length of stay (mean ± SD) (days) | 2.7 (2.0) | 2.5 (1.9) | 2.6 (2.0) | 0.08 | −0.2 (−0.4; −0.03) | −0.1 (−0.3; 0.12) |
| ICU | 14 (1) | 40 (4) | 30 (4) | <10−9 | 3 (2; 5) | 3 (2; 5) |
| ICU length of stay (mean ± SD) (days) | 2.5 (1.5) | 2.1 (1.6) | 4.6 (7.9) | 0.10 | −0.4(−1.4; 0.5) | 2.1 (−2.2; 6.4) |
| Proportion of ICU/total admissions (%) | 1.2 | 5.7 | 5.9 | <10−8 | 4.5 (3.9; 5.2) | 4.7 (4.0; 5.4) |
| Ambulatory care | 410 (22) | 201 (17) | 206 (24) | 0.20 | −5 (−8; −2) | 2 (−1; 6) |
aThere were 2251 and 688 missing values for adult and paediatric cases, respectively