ReviewInternational journal of preventive medicine2025
Prevalence of Inappropriate Hospital Admission and Hospitalization Days in EMRO Region countries: A Systematic and Meta-analysis Study.
Review in International journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
4 authors.
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Abstract
Background: Inappropriate use of healthcare services not only represents inefficient use of limited healthcare resources but also incurs an additional cost burden. Therefore, this study aimed to estimate the inappropriateness of admission and hospitalization in the EMRO region. A systematic review and meta-analysis study was carried out based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Methods: The data were collected between April and June 2024 from four databases: Web of Science, ProQuest, Scopus, and PubMed. The data collection period ranged from January 1, 1980, to February 30, 2024. The search involved a combination of terms such as "Appropriate," "Inappropriate," "Admission," "Stay," "hospital admission," "hospital use," "Hospital stay," "AEP," "Hospitalization," "Avoidable admission," "Bed utilization," "Appropriateness Evaluation Protocol," and "countries of EMRO" in interventional and observational studies. Excel and STATA, version 11, were used for data analysis. Results: Among 14,430 published articles, 19 studies were included in the review. The inappropriate admission rate was 14.6 in Eastern Mediterranean region countries (95% CI: 10.45-20.54). Inappropriate admission in Iran was lower than in other countries in the EMRO region (10.20 vs 22.28) ( Conclusions: This study showed that the rate of inappropriate admission and hospitalization in EMRO countries is lower than in some European countries, such as Turkey, Italy, and Switzerland. Adopting appropriate policies for patient admission, physician training, employing experts, and fully utilizing the hospital's referral system for home care can help optimize hospital facilities and services.
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