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Hamidreza Shabanikiya, Mahdi Gholami Fadihegi,
Volume 3, Issue 4 (7-2018)
Abstract

Background: Early discharge of inpatients is one of the most well-known strategies for hospital surge capacity in disasters. This study aimed to determine the rate of inpatient surge capacity created by early discharge in disasters in pediatrics departments of hospitals affiliated with Mashhad University of Medical Sciences.
Materials and Methods: This was a cross-sectional study. The study population consisted of all children (1-14 years old) admitted to the pediatrics departments of hospitals affiliated to Mashhad University of Medical Sciences. No sampling was performed and all study population including 207 children were enrolled. A researcher-made questionnaire was used to collect data. The validity of the questionnaire was verified by the relevant experts. Data collection was done by direct referring to the hospitals. The obtained data were analyzed using descriptive and inferential statistics including Pearson, Chi-square, and Mann-Whitney tests.
Results: Pediatric inpatients surge capacity created by early discharge of the four studied hospitals, including Imam Reza (AS), Ghaem (aj), Shahid Hasheminejad, Dr. Sheikh, and the total were 16(59%), 24(57%), 10(55%), 14(48%) and 64(55%) beds, respectively. There was no statistically significant relationship between the demographic variables of the patient’s doctor and his/her decision about early discharge, or between patients demographic characteristics and decision about early discharge.
Conclusion: By using early discharge of inpatient pediatrics during disasters, a notable admission capacity can be created for pediatrics casualties of disasters.


Hamidreza Shabanikiya, Mahdi Gholami-Fadihegi, Ezzat Khodashenas, Sanaz Sohrabizadeh, Hamid Heidarian Miri,
Volume 5, Issue 1 (10-2019)
Abstract

Background: Early Discharge is one of the most well-known strategies to increase hospital capacity during disasters, which is applicable by recognizing the patients appropriate for early discharge. Therefore, the current study was conducted to estimate a model for predicting hospitalized children appropriate for early discharge during disasters based on the attending physician’s opinion.
Materials and Methods: This cross-sectional study was conducted on 210 pediatric patients hospitalized in the emergency and pediatrics wards of the hospitals covered by Mashhad University of Medical Sciences. A researcher-made questionnaire was used to collect data. Questionnaires were completed at the patient’s bedside by a trained questioner. The logistic regression was used to analyze the data.
Results: Five variables, such as consciousness level (OR=4.677), dehydration status (2.596), ability to take milk/swallow (OR=1.930), blood oxygen saturation level (OR=1.186), and body temperature (OR=0.530) were determined as predictors for children appropriate for early discharge during disasters. The area under the ROC curve was calculated 0.848, which indicated a good curve fit of the estimated model.  
Conclusion: The model presented in the current study can help clinical staff identify hospitalized children appropriate for early discharge during disasters.


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